RT middle lobe pneumonia

50 year male with cough since 7 days n hemoptysis once. Had history of fever for 5-6 days. Kindly interpret X Ray. His ESR was 46 n CRP was 43. Leukocytosis with preserved N/L ratio. RT PCR negative. Kindly give your differential diagnosis based on this brief history n lab/ X ray investigation. His CECT thorax was done, finding of which we will discuss later.

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Rt mid zonal radioopaque shadow seen , obscured rt cardiac border. Findings sugg of rt middle lobar collapse consolidation or Intraluminal Obstructive pathology like malignancy. CT thorax and FOB would be helpful.

Valuable opinion

Segmental collapse consolidation rt midlower lobe Rest of lung fields are hyperinflated Raised esr crp with leucocytosis suggest pneumonitis D/d 1 covid19 pneumonitis though RT pcr is -ve but hrct is likely CORAD5

Yes dr agerwal I also think so

Hyperinflated lungs Tracheal shift to right Right paratracheal opacity Right midzone nonhomogegenous opacity ? Pneumonia , ? Collapse ,right middle lobe. ,? Endobroncheal obstruction . Suggest CT, Bronchoscopy .

A fibronodular patches seen in the right middle of the lung suggestive of lung abscess or growth


Macrolide antibiotics: Macrolide drugs are the preferred treatment for children and adults. ... Fluoroquinolones: These drugs include ciprofloxacin (Cipro®) and levofloxacin (Levaquin®). ... Tetracyclines Suspected Pneumonia

Rt middle zone collapse with conolidation

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