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The symptoms of pneumonia are fever, productive cough, shortness of breath, and pleuritic chest pain. [2] Inspiratory crackles may be heard on exam. [2] A chest x-ray can be useful to differentiate pneumonia from congestive heart failure. [2] As the cause is usually a bacterial infection, antibiotics are typically used for treatment. [2]
In some cases, chest CT can reveal pneumonia not seen on x-rays. However, congestive heart failure or other types of lung damage can mimic CAP on x-ray. [15] When signs of pneumonia are discovered during evaluation, chest X-rays and examination of the blood and sputum for infectious microorganisms may be done to support a diagnosis of CAP.
With treatment, most types of bacterial pneumonia will stabilize in 3–6 days. [2] It often takes a few weeks before most symptoms resolve. [2] X-ray findings typically clear within four weeks and mortality is low (less than 1%). [24] [139] In the elderly or people with other lung problems, recovery may take more than 12 weeks.
A chest radiograph, chest X-ray (CXR), or chest film is a projection radiograph of the chest used to diagnose conditions affecting the chest, its contents, and nearby structures. Chest radiographs are the most common film taken in medicine.
In a study from 1980 that used chest X-rays to evaluate 65 cases of solitary lung cavities, 0% percent of cavities with walls 1 mm or less were malignant (that is, cancerous), versus 8% of cavities with walls 4 mm or less, 49% of cavities with walls 5 to 15 mm, and 95% of cavities with walls 15 mm or greater. [3]
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]
CT chest showing large right sided hydro-pneumothorax from pleural empyema. Arrows A: air, B: fluid: Specialty: Pulmonology, cardiothoracic surgery Symptoms: Fever, chest pain with breathing in, cough, shortness of breath: Causes: Bacteria (often Strep. pneumonia) Diagnostic method: Chest X-ray, Ultrasound, CT scan, thoracentesis: Differential ...
Necrotizing pneumonia (NP), also known as cavitary pneumonia or cavitatory necrosis, is a rare but severe complication of lung parenchymal infection. [ 1 ] [ 2 ] [ 3 ] In necrotizing pneumonia, there is a substantial liquefaction following death of the lung tissue, which may lead to gangrene formation in the lung.