Demographics:
52 years old, Female
Indication:
Fever, chest pain
Findings
Chest radiograph
- Dense airspace opacification in the lateral aspect of the left upper lobe
CT
Chest
- Large area of airspace consolidation in the lateral aspect of the left upper lobe with associated posterior and inferior bulging of the left major fissure
- No pleural effusion
- Moderate centrilobular emphysema
- Multiple enlarged mediastinal and left hilar lymph nodes, which are likely reactive
- Moderate coronary artery calcification
Upper abdomen
- Multiple subcentimeter hypodense hepatic lesions, which are too small to characterize
MSK
- No acute findings
Diagnosis
Lobar pneumonia (Klebsiella)
Sample Report
Left upper lobe pneumonia with associated bulging of the major fissure, which can be seen with aggressive infections, including Klebsiella pneumonia. No cavitation or pleural effusion.
Discussion