Demographics:
25 years old, Male
Indication:
Dyspnea, hemoptysis
Findings
Chest radiograph
- Widespread bilateral alveolar opacities, most confluent in the right lung base
CT
Chest
- Extensive bilateral airspace consolidation with air bronchograms, subpleural sparing, and relative sparing of the left lower lobe
- Small pericardial effusion
Upper abdomen
- No acute findings
MSK
- No acute findings
Diagnosis
Diffuse alveolar hemorrhage
Sample Report
Findings are most concerning for diffuse alveolar hemorrhage, particularly given reported hemoptysis, though there may be superimposed pneumonia.
Discussion