File:Cavitating pneumonia - lingular segments (Radiopaedia 34386-35678 Axial lung window 40).png

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Cavitating_pneumonia_-_lingular_segments_(Radiopaedia_34386-35678_Axial_lung_window_40).png ‎(512 × 512 pixels, file size: 265 KB, MIME type: image/png)

Summary:

Description
  • Radiopaedia case ID: 34386
  • Image ID: 11123137
  • Image stack position: 40/58
  • Plane projection: Axial
  • Aux modality: lung window
  • Study findings: Consolidation within the left upper lobe with multiple areas of cavitation containing air fluid levels and diffuse background emphysematous changes with bulla formation. There is a large bulla in the right middle lobe extending to the right diaphragm. A 7mm nodule in the anterior left upper lobe and  3 mm nodule  in the right lower lobe. Small left-sided pleural effusion and mediastinal lymphadenopathy. Large hiatus hernia. Conclusion: Cavitating left lingula consolidation. Etiology includes aspiration (given the large hiatus hernia) or TB. An underlying cavitating mass is considered less likely.
  • Modality: CT
  • System: Chest
  • Findings: There is consolidation within the left lower lobe. Within this region there are at least two well defined lucencies which are concerning for cavitation. There is a calcified curvilinear structure within the right middle lobe of uncertain significance. Right upper lobe opacification could be due to fibrotic change although a degree of upper lobe collapse is not excluded. Retrocardiac midline lucencies are consistent with a hiatus hernia. Small pleural effusion of the left. The heart size is within normal limits. Conclusion: Left lower lobe consolidation with lucencies that may represent cavitation in this setting. Further evaluation with CT suggested.
Date Published: 19th Feb 2015
Source https://radiopaedia.org/cases/cavitating-pneumonia-lingular-segments
Author James Sheldon
Permission
(Permission-reusing-text)		 http://creativecommons.org/licenses/by-nc-sa/3.0/

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Attribution-NonCommercial-ShareAlike 3.0 Unported (CC BY-NC-SA 3.0)

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