Imaging

Patient: Mr. Charlie Breather
Ordering Physician: Dr. Al Veolar
Facility: Panhandle Regional Medical Center

Indication:

Evaluation of chest X-ray in a patient with COPD and suspected pneumonia, presenting with shortness of breath, productive cough, and decreased oxygen saturation with activity.

Technique:

• Standard Posterior-Anterior (PA) and Lateral views of the chest.

Findings:

• Lung Fields:

  • Hyperinflation of the lungs with increased lung volumes and flattened diaphragms, consistent with Chronic Obstructive Pulmonary Disease (COPD).

  • Evidence of increased lung markings and interstitial changes bilaterally, suggestive of chronic bronchial changes.

  • Patchy areas of consolidation observed predominantly in the right lower lobe, suggestive of pneumonia.

  • No pleural effusion is identified.

• Mediastinum and Heart:

  • Cardiomegaly not evident.

  • Mediastinal structures are within normal limits.

• Bones and Soft Tissues:

  • No evidence of rib fractures or other osseous abnormalities.

  • Soft tissues appear unremarkable.
    
    

Impression:

• Findings are consistent with COPD with hyperinflation and pneumonia, likely involving the right lower lobe.

• Recommend continued monitoring of respiratory status and correlation with clinical findings.

• Suggest follow-up imaging if symptoms persist or worsen despite treatment.
  
  

Radiologist: Dr. Emily Rhodes, MD