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A chest x-ray is typically performed in cases where any pneumonia is suspected, including aspiration pneumonia. [18] Findings on chest x-ray supportive of aspiration pneumonia include localized consolidation depending on the patient's position when the aspiration occurred. [18]
This includes fungal infections, mycobacterial infections such as tuberculosis or mycobacterium avium intracellulare, bronchopneumonia, chronic aspiration pneumonia, cystic fibrosis or cellular impaction from bronchovascular spread of malignancy, as can occur with breast cancer, leukemia or lymphoma. [2]
A chest x-ray of a patient with severe viral pneumonia due to SARS In adults, viruses account for about one third of pneumonia cases, [ 12 ] and in children for about 15% of them. [ 44 ] Commonly implicated agents include rhinoviruses , coronaviruses , influenza virus , respiratory syncytial virus (RSV), adenovirus , and parainfluenza .
X-ray of focal pneumonia in lower right lung lobe (bottom left of chest in image) due to aspiration and airway obstruction. The most important aspect of the assessment for a clinician is an accurate history provided by an event witness. [7] Unfortunately, this is not always available.
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Chest X-rays can be useful in the diagnosis of aspiration pneumonia but may be negative early in the course. [12] Chest CT Scan can identify the presence of a pneumonia as well, and can also assist in characterizing abscesses, foreign objects, or pleural disease. Aspiration seen on barium swallow study.
Typically, an area of white lung is seen on a standard X-ray. [5] Consolidated tissue is more radio-opaque than normally aerated lung parenchyma, so that it is clearly demonstrable in radiography and on CT scans. Consolidation is often a middle-to-late stage feature/complication in pulmonary infections.
Ground-glass opacity (GGO) is a finding seen on chest x-ray (radiograph) or computed tomography (CT) imaging of the lungs. It is typically defined as an area of hazy opacification (x-ray) or increased attenuation (CT) due to air displacement by fluid, airway collapse, fibrosis , or a neoplastic process . [ 1 ]