Pneumonia/Chest X-ray

Jump to navigation Jump to search

Page has default form::MedicalTest {{#meta: itemprop="medicalWebPageAudiences" content="patient"}}{{#meta: itemprop="medicalWebPageSpecialities" content="cardiology"}}{{#meta: itemprop="medicalWebPageInfoTypes" content="symptoms,diagnosis,treatment,causes,prognosis,complications"}}



Editor(s)-in-Chief: C. Michael Gibson, M.S., M.D. [1] Phone:617-632-7753; Philip Marcus, M.D., M.P.H.[2]

Overview

Pneumonia Microchapters

Home

Patient Information

Overview

Historical Perspective

Classification

Pathophysiology

Causes

Differentiating Pneumonia from other Diseases

Epidemiology and Demographics

Risk Factors

Screening

Natural History, Complications and Prognosis

Diagnosis

Diagnostic Criteria

Diagnostic Algorithm

History and Symptoms

Physical Examination

Laboratory Findings

Chest X Ray

CT

Other Imaging Findings

Treatment

Medical Therapy

Prevention

Cost-Effectiveness of Therapy

Future or Investigational Therapies

Case Studies

Case #1

Pneumonia/Chest X-ray On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Pneumonia/Chest X-ray

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Pneumonia/Chest X-ray

CDC onPneumonia/Chest X-ray

Pneumonia/Chest X-ray in the news

Blogs on Pneumonia/Chest X-ray

Directions to Hospitals Treating Pneumonia

Risk calculators and risk factors for Pneumonia/Chest X-ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [3]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [4], Priyamvada Singh, M.D. [5] ; Alejandro Lemor, M.D. [6]

Overview

An important test for making a diagnosis of pneumonia is a chest x-ray. Chest x-rays can reveal areas of opacity (seen as white) which represent consolidation. Pneumonia is not always seen on x-rays, either because the disease is only in its initial stages, or because it involves a part of the lung not easily seen by x-ray.

Chest X-Ray

Indications

Patients with the following conditions should be evaluated with a chest X-ray:[1]

Findings

Hospital Acquired

  • The American Thoracic Society recommends that all patients with a suspicion of nosocomial pneumonia should have a chest x-ray to confirm diagnosis and determine the severity of the disease.[3]
  • A chest X-ray also helps to determine pleural effusions or cavitations, as a possible complication.
  • Ideally, the chest X-ray should be posteroanterior and lateral, but this will depend on the patient's condition.
  • Findings include the following:[4]
  • Chest x-ray is also used to assess improvement or lack of clinical response in hospitalized patients.

Chest X-ray Gallery

Right middle lobe consolidation pneumonia Source:Case courtesy of Dr Sajoscha Sorrentino, Radiopaedia.org, rID: 14979


X-ray shows homogenous radio-opaque areas in bilateral lung fields. These represent areas of consolidation Source: Case courtesy of Dr Aditya Shetty, Radiopaedia.org, rID: 26828


Videos

{{#ev:youtube|uhRIu8bDYA0}} {{#ev:youtube|zDOFzw0Cmp4}}

References

  1. Watkins RR, Lemonovich TL (2011). "Diagnosis and management of community-acquired pneumonia in adults". Am Fam Physician. 83 (11): 1299–306. PMID 21661712.
  2. Syrjala H, Broas M, Suramo I, et al. High resolution computed tomography for the diagnosis of community-acquired pneumonia. Clin Infect Dis 1998; 27:358-363 PMID 9709887
  3. "Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia". American Journal of Respiratory and Critical Care Medicine. 171 (4): 388–416. 2005. doi:10.1164/rccm.200405-644ST. ISSN 1073-449X.
  4. Koenig, S. M.; Truwit, J. D. (2006). "Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention". Clinical Microbiology Reviews. 19 (4): 637–657. doi:10.1128/CMR.00051-05. ISSN 0893-8512.

Template:WH Template:WS

Related Pages