Hospital-acquired pneumonia chest x ray: Difference between revisions
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{{Hospital-acquired pneumonia}} | {{Hospital-acquired pneumonia}} | ||
{{CMG}}; {{AE}} {{AL}} | |||
==Overview== | ==Overview== | ||
An important test for making a diagnosis of [[pneumonia]] is a chest [[x-ray]]. Chest x-rays can reveal areas of opacity (seen as white) which represent consolidation, [[pleural effusion]], [[air bronchogram]] and/or cavitations. Pneumonia is not always seen on x-rays, either because the disease is only in its initial stages, or because it involves a part of the lung not easily seen by [[x-ray]]. | |||
==Chest X-ray== | |||
{|style="float:right" | |||
|[[File:Hospital_acquired_pneumonia.png|200px|thumb|left|X-ray shows homogenous radio-opaque areas in bilateral lung fields. These represent areas of consolidation.<br>{{radiopaedia|name=Dr Aditya Shetty|link=http://radiopaedia.org/cases/hospital-acquired-pneumonia}}]] | |||
|} | |||
*The American Thoracic Society recommends that all patients with a suspicion of nosocomial pneumonia should have a chest x-ray to confirm diagnosis and determine the severity of the disease.<ref>{{cite journal|title=Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia|journal=American Journal of Respiratory and Critical Care Medicine|volume=171|issue=4|year=2005|pages=388–416|issn=1073-449X|doi=10.1164/rccm.200405-644ST}}</ref> | |||
* A chest X-ray also helps to determine [[pleural effusion]]s or [[cavitation]]s, as a possible complication. | |||
*Ideally, the [[chest X-ray]] should be posteroanterior and lateral, but this will depend on the patient's condition. | |||
*Findings include the following:<ref name="KoenigTruwit2006">{{cite journal|last1=Koenig|first1=S. M.|last2=Truwit|first2=J. D.|title=Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention|journal=Clinical Microbiology Reviews|volume=19|issue=4|year=2006|pages=637–657|issn=0893-8512|doi=10.1128/CMR.00051-05}}</ref> | |||
:*Unilateral or bilateral [[lung consolidation|consolidation]] | |||
:*Air bronchogram | |||
:*[[Pleural effusion]] | |||
:*Cavitation | |||
:*Ground glass opacities | |||
*Chest X-ray is also used to assess improvement or lack of clinical response in hospitalized patients. | |||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} | ||
[[Category:Disease]] | |||
[[Category:Pulmonology]] | |||
[[Category:Pneumonia|Pneumonia]] | [[Category:Pneumonia|Pneumonia]] | ||
[[Category:Emergency medicine]] | [[Category:Emergency medicine]] | ||
Latest revision as of 18:02, 18 September 2017
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Hospital-acquired pneumonia chest x ray On the Web |
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Risk calculators and risk factors for Hospital-acquired pneumonia chest x ray |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2]
Overview
An important test for making a diagnosis of pneumonia is a chest x-ray. Chest x-rays can reveal areas of opacity (seen as white) which represent consolidation, pleural effusion, air bronchogram and/or cavitations. Pneumonia is not always seen on x-rays, either because the disease is only in its initial stages, or because it involves a part of the lung not easily seen by x-ray.
Chest X-ray
 Image courtesy of Dr Aditya Shetty, Radiopedia. (original file here). Creative Commons BY-SA-NC |
- The American Thoracic Society recommends that all patients with a suspicion of nosocomial pneumonia should have a chest x-ray to confirm diagnosis and determine the severity of the disease.[1]
- A chest X-ray also helps to determine pleural effusions or cavitations, as a possible complication.
- Ideally, the chest X-ray should be posteroanterior and lateral, but this will depend on the patient's condition.
- Findings include the following:[2]
- Unilateral or bilateral consolidation
- Air bronchogram
- Pleural effusion
- Cavitation
- Ground glass opacities
- Chest X-ray is also used to assess improvement or lack of clinical response in hospitalized patients.
References
- ↑ "Guidelines for the Management of Adults with Hospital-acquired, Ventilator-associated, and Healthcare-associated Pneumonia". American Journal of Respiratory and Critical Care Medicine. 171 (4): 388–416. 2005. doi:10.1164/rccm.200405-644ST. ISSN 1073-449X.
- ↑ Koenig, S. M.; Truwit, J. D. (2006). "Ventilator-Associated Pneumonia: Diagnosis, Treatment, and Prevention". Clinical Microbiology Reviews. 19 (4): 637–657. doi:10.1128/CMR.00051-05. ISSN 0893-8512.