File:Atypical pneumonia - Q fever (Radiopaedia 21993-21989 C+ arterial phase 5).jpg

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Summary:

Description
  • Radiopaedia case ID: 21993
  • Image ID: 2996814
  • Image stack position: 5/45
  • Aux modality: C+ arterial phase
  • Study findings: Scattered ground glass opacification is seen bilaterally, predominantly in the upper zones and worst on the left with a "crazy paving" distribution. Small cysts are seen scattered throughout with more significant parenchymal distortions seen at the apices. An area with sub-pleural septal thickening is seen in a dependent position in the left lower lobe. No nodules are identified. No mediastinal lymph adenopathy. No pleural fluid collections. The heart is not enlarged. Internal fixation of the right clavicle noted. No acute bony lesions. Conclusion: The appearance of the lungs is non-specific and may represent edema, atypical infection, pulmonary hemorrhage and drug toxicity. The predominantly upper zone distribution, the appearance of multiple pneumatoceles and the absence of pleural effusions  raises the possibility of PCP specifically.
  • Modality: CT
  • System: Chest
  • Findings: The right hemidiaphragm is elevated with some minor right basal atelectasis.  It is not clear whether elevation of the right hemidiaphragm reflects sub diaphragmatic pathology or is longstanding in nature. Hazy airspace opacity is seen in the left mid and upper zone which may be inflammatory in nature.  No areas of confluent consolidation are identified. Cardiomediastinal contour is within normal limits. An orthopedic screw transfixes a mid shaft clavicular fracture on the right. Calcifications in the left axilla. Anterior wedging of L1 vertebral body.
Date Published: 3rd Mar 2013
Source https://radiopaedia.org/cases/atypical-pneumonia-q-fever
Author Royal Melbourne Hospital Respiratory
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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current13:01, 3 June 2021Thumbnail for version as of 13:01, 3 June 20211,365 × 1,365 (406 KB)Fæ (talk | contribs)Radiopaedia project rID:21993 (batch #3250-53 B5)

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