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Doctor insights on: Atypical Pneumonia Chest X Ray

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Dr. Michael Gabor
807 Doctors shared insights

Xray Of Chest (Definition)

A chest x-ray is the basic radiographic study for evaluation of the heart and lungs. It usually consists of 2 views: postero-anterior and lateral. The image is now usually acquired digitally with the sensor placed against the front of the chest for the pa view and on the left side of the chest for the lateral view. Pneumonia, heart enlargement, CHF and many other ...Read more


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Can you have pneumonia and it not show on chest x-ray?

Can you have pneumonia and it not show on chest x-ray?

Yes: Early phase pneumonia with fever and chills may have normal chest xray and consolidate 24-48 hours later, Consolidation can lag behind clinical symptom. And clinical improvement before xray improves. Immune compromised patients on chemotherapy with neutropenia or few white blood cells, exam can look negative. It is necessary to have white blood cells to form consolidation. Bacteria are not radio de

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Does a chest X-ray confirm a diagnosis of pneumonia? If not, what does?

Does a chest X-ray confirm a diagnosis of pneumonia? If not, what does?

Sometimes: If have symptoms compatible with pneumonia, chest xray can demonstrate consolidation consistent with pneumonia. Some pneumonias are bacterial, fungal, and viral. Often have different radiographic patterns. Clinical exam by physician and certain blood tests are other ways of confirming pneumonia.

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Does the chest X-Ray take time to show changes if a person has pneumonia?

Does the chest X-Ray take time to show changes if a person has pneumonia?

Sometimes: Pneumonia on radiograph can lag few days behind clinical symptoms. Going the other way, patient starts feeling better long before changes resolve on radiograph.

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How do you know the difference in pneumonia and TB on a chest x-ray?

How do you know the difference in pneumonia and TB on a chest x-ray?

Looks different: Pneumonia is a patchy or consolidated infiltrate, and TB are smaller cavitay lesions or spots in the lung.

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Chest X-ray shows on right side a patchy alveolar infiltrates, rule out pneumonia. Is this early stage of pneumonia. Thanks jimmy?

Chest X-ray shows on right side a patchy alveolar infiltrates, rule out pneumonia. Is this early stage of pneumonia. Thanks jimmy?

The finding: Described as alveolar infiltrates can be due to early or mild or healing pneumonia. Blood or fluid in lungs can give this appearance also. Please have your doctor match the x-ray findings with your history and symptoms. May need ct scan of chest.

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I have pneumonia, my chest X-ray is showing a hilar mass or hilar lymphadenopathy. Would this be caused my the pneumonia?

I have pneumonia, my chest X-ray is showing a hilar mass or hilar lymphadenopathy. Would this be caused my the pneumonia?

Talk to your doctor: This is a potentially very severe situation. The adenopathy or hilar mass may be causing a post-obstructive pneumonia, or the hilar lesions and the pulmonary infiltrates may be part of a single entity such as sarcoidosis. This should be discussed at length with the doctor caring for you.

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Had a chest X-ray and was told I have pneumonia. On meds but how long until the fever and body ache goes away? It's really bad!

Had a chest X-ray and was told I have pneumonia. On meds but how long until the fever and body ache goes away? It's really bad!

Pneumonia: Usually fever from pneumonia will go away within 3-4 days of starting appropriate antibiotics but like many things pneumonias vary in severity and the strength or weakness of your own immune response is also a factor.

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My chest and back hurts when I cough due to chest congestion. Does this warrant a chest X-ray to rule out pneumonia. Dark green mucus.?

My chest and back hurts when I cough due to chest congestion. Does this warrant a chest X-ray to rule out pneumonia. Dark green mucus.?

Maybe: It warrants an evaluation by a physician as these symptoms are consistent with pneumonia but not specific to it. Whether a chest xray is needed depends on additional info, other symptoms, fever, physical exam findings etc.

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Dr said that my 4y/o daughter has walking pneumonia after seeing her chest X-ray and listening to her chest. Radiology rpt is negative. What is it?

Dr said that my 4y/o daughter has walking pneumonia after seeing her chest X-ray and listening to her chest. Radiology rpt is negative. What is it?

Exam vs X-ray: A doctor can often hear a pneumonia on a child days before the x-ray will turn positive. S/he can also miss a pneumonia that shows up on x-ray if the common sounds are not audible. In kids, the x-rays will often remain positive for up to six weeks after the pneumonia has cleared with treatment. It is the combination of exam, lab and tests in the hands of a trained doc that comes up with answers.

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Is it ok to have my chest X-ray this month even if I had it last january, because my doctor advised me to have my x-ray. I have asthma, ang I have a history of pneumonia last 2009.

Yes.: Yes. Although I understand your concerns regarding radiation exposure, follow-up cxrs are important. We routinely re-check cxrs to follow nodules or to ensure pneumonia is resolving among other reasons. Also, new symptoms or concerns can prompt a repeat cxr.

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I had pneumonia 3 weeks ago and now have sinusitis. On amox for 2 days no improvement, and a low grade fever. Could it be the pneumonia reoccurring? Should I get another chest x-ray?

I had pneumonia 3 weeks ago and now have sinusitis. On amox for 2 days no improvement, and a low grade fever. Could it be the pneumonia reoccurring? Should I get another chest x-ray?

May not be pneumonia: If you are an otherwsie healthy patient the liklhood that you would have recurrent infection with the sam bacteria is not lilely. More likely is that you have an ellemnt of allergies or possibly asthma that predispose to prolonged and recurrent episodes of congestion. Certainly if you feel short of breath or are coughing, a repeat visit to the doctor is in order.

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Left lower lobe pneumonia March 4. No fever, just felt like junk. Got levaquin (levofloxacin). Now just feeling weak. Chest X-ray clear. How long till I'm better?

Left lower lobe pneumonia March 4. No fever, just felt like junk. Got levaquin (levofloxacin). Now just feeling weak. Chest X-ray clear. How long till I'm better?

Post pneumonia: This is highly variable and depends upon what the causative agent of the pneumonia was, the extent of lung involvement, your personal immune system, and other factors. Give this time, get plenty of rest and a healthy diet. Good luck and hope you are better soon.

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How do you detect pneumonitis in lupus patients? How is it treated? I went to the ER for sob, chest x-ray, echo, CT chest, d-dimer, CBC and bmp and it all came good. I feel I have"air hunger." I also have p.O.T.S. There has been no answer.

How do you detect pneumonitis in lupus patients? How is it treated? I went to the ER for sob, chest x-ray, echo, CT chest, d-dimer, CBC and bmp and it all came good. I feel I have"air hunger." I also have p.O.T.S. There has been no answer.

Lupus pneumonitis: Pneumoniitis isvinflammation with in the lung itself. It is not uncommon in lupus patients. It can be caused by auto immune basis and also by viruses, bacteria and fungi either by themselves or in conjunction with lupus and or from lowered immunity due to meds used in lupus. Diagnosis is by cxr, ct scan and at times by bronchoscpy with cultures etc. Treatment is directed against cause.

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Chest x Ray shows subtle scarring in left lung base after pnemounia and pleurisy. Is this bad and can it become a problem?

Chest x Ray shows subtle scarring in left lung base after pnemounia and pleurisy. Is this bad and can it become a problem?

Mgt: A virtual consult can be booked online, so that the imaging may be viewed. From your description, this type of residual scarring should not result in a decrease in lung function.

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Difference between typical vs atypical pneumonia?

Difference between typical vs atypical pneumonia?

Mismatch of symptom: Patients presents with symptoms which do notmatch with clinical and radiological evidence of the peumonias i.e. Cocci, tband pcp.

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What's the difference between typical and atypical pneumonia?

What's the difference between typical and atypical pneumonia?

Very little: "atypical" pneumomia is actually very common. "typical" pneumonia is caused by conventional bacteria, usually with a capsule. Most atypical pneumoia is caused by small organisms (mycoplasma, legionella) that infect the inside of the cell, as opposed to living outside the cell.

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Dr. Mohammed Parvez
114 Doctors shared insights

Atypical Pneumonia (Definition)

Atypical pneumonia is so called because the causative organisms are not the usual ones associated with most cases of pneumonia. Besides mycoplasma, chlamydia & legionella, many viruses, fungi & protozoa can cause atypical pneumonia as well. Symptoms & signs can be atypical - dry cough, minimal or no fever, absence of lobar consolidation or leucocytosis etc. ...Read more


Dr. Michael DePietro
2,213 Doctors shared insights

Pneumonia (Definition)

An inflammation of the lungs, most ...Read more