46-year-old chronic smoker with bullous emphysema presents with fever and cough for the last 4 days. Diagnosis: 1. Hydropneumothorax 2. Infected bulla 3. Lung abscess
infected bulla
hydropneumothorax
infected bulla could be most probable diagnosis.as the cp angle is not obliterated may be hydropneumo thorax secondly.needs a CT chest
The shadow is less dense to call a fluid. Though it gives an impression of a fluid level but a possibility of collapse consolidation should be considered
as of history and x ray findings it's infected bulla most likely, obtain culture as mrsa and pseudomonas are most common pathogens., if possible get a CT you have not mentioned about count??
infected bulla
most likely it is infected bulla ,as pt is not dyspneic, hydropneumothoax is unlikely. second there is no cavity wall visible lung abcess unlikely.advice ,Sp afb,sp c/s pyogenic and CT thorax for diagnosis.
Lculated hydropneumothorax.
infected bulla
infected bulla
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