Beruflich Dokumente
Kultur Dokumente
Elisa Franquet, MD
http://dx.doi.org/10.1053/j.ro.2016.12.001 1
0037-198X/& 2017 Elsevier Inc. All rights reserved.
Spread Alveoli through the pores of Kohn and Along the airway walls and into Septal interstitium
channels of Lambert in the alveolar adjacent alveoli (causes ulcers in the
walls until it reaches the ssures walls and bropurulent membrane
(lls space) formation)
Findings Begins peripherally and spreads Lobular, subsegmental, segmental Diffuse and bilateral
centrally
Nonsegmental, sublobar or lobar Usually multilobar and bilateral
Can be multilobar Air bronchogram usually absent
Air bronchogram may be present
(Fig. 1)
Silhouette sign
Figure 4 Chest radiograph shows a 6-cm diameter rounded consolida- Figure 6 Aspiration bronchopneumonia. PA chest radiograph shows
tion with ill-dened margins in the right lung (round pneumonia). bilateral ill-dened, patchy areas of consolidation in the lower lobes.
The patient was a 55-year-old woman. PA, posteroanterior.
Common Complications of
Pneumonia
Parapneumonic effusion, often unilateral, is a common pul-
monary complication in the setting of bacterial pneumonia. Figure 10 Lung abscess. Enhanced CT image (same patient as in Fig. 9)
Progression to empyema occurs in 5%-10% of cases. Dis- conrms a large abscess in the superior segment of the left lower lobe,
tinction of pleural transudate from pleural exudate cannot be with thick nodular walls and an air-uid level (arrow).
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