Hemithorax white-out (pneumonia)

Discussion:

Complete white-out of the hemithorax with air bronchograms and trachea in a central position is consistent with consolidation secondary to pneumonia. The patient is on linezolid, micafungin, and piperacillin-tazobactam pending culture and susceptibility studies. 

Differential diagnosis of hemithorax white-out with a midline trachea include:

  • consolidation
  • pulmonary edema/ARDS
  • pleural mass
  • chest wall mass

Case made with the help of Dr Jayanth Keshavamurthy, Medical College of Georgia, Augusta.

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