Chest x-ray interpretation

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The Posterior to Anterior (PA) chest radiograph presented revealsright middle lobe consolidation (G., S., &amp L., 2012). Deducedfrom the image, not so clearly defined borders of increased densityin the left lung without volume loss are noted, the right and lefthilus are in normal position, the silhouette of the heart is stillvisible indicating density in the middle lobe, and denser alveolisurrounding the bronchi enhancing the visibility of the bronchi ismanifested resulting in an air bronchogram (Eng, 2010).

This is most likely a lobar pneumonia. Depending on the severity ofthe symptoms experienced by the patient, chronic consolidation causescan be ruled out. The cause of consolidation cannot be determinedbased on the radiograph alone. Other tests such as samples of sputum,blood tests, and nose and throat swabs may be collected to determinethe pneumonia-causing organism. Symptoms include persistent coughwith mucus, fever, headache, excessive sweating, muscle pain,increased breathlessness and pulse rate. Individuals with heartdisease, recent viral respiratory infections, impaired consciousness,and chronic lung disease such as COPD are more prone to gettingpneumonia (Suárez, M.L. &amp Ortega, M 2011).

Bacteria, viruses, chemicals, mycoplasmas or fungi, can causepneumonia. Measures for treating and prevention of the disease suchas antibiotics, fever and pain reliefs, oxygen therapy, andvaccination may be administered depending on the cause and severityof the disease.


Eng, P. C. (2010). Interpreting Chest X-Rays: Illustrated in 100 cases. NewYork: Cambridge University press.

Lacey, G., Morley, S. &amp Berman, L. (2012). The Chest X-Ray. London: Elsevier Health Sciences

Suárez, M. L. &amp Ortega, M. (2011). Pneumonia : Symptoms, Diagnosis and Treatment. NewYork: Nova Science Publishers.

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