Top
30
Doctor insights on: What Does Pneumonia Look Like On A Chest X Ray

Share
1

1
What is a chest X ray to R/o pneumonia?

What is a chest X ray to R/o pneumonia?

Your doctor: Suspects pneumonia, is ordering a chest x-ray to confirm it. ...Read more

Dr. Michael Gabor
820 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


2

2
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. ...Read more

3

3
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. ...Read more

5

5
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. ...Read more

6

6
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. ...Read more

7

7
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 ...Read more

8

8
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. ...Read more

9

9
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. ...Read more

10

10
Can healthy people get MAC Mycobacterium pneumonia? After 10 days oral and IV antibiitic chest X-ray still Shows pneumonia. Better but still there. Mac?

Can healthy people get MAC Mycobacterium pneumonia? After 10 days oral and IV antibiitic chest X-ray still Shows pneumonia. Better but still there. Mac?

Mgt: Radiographic resolution does lag behind clinical improvement. A virtual consult may be helpful and you can upload your imaging and records. Are you experiencing symptoms? ...Read more

11

11
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. ...Read more

12

12
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. ...Read more

13

13
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. ...Read more

14

14
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. ...Read more

15

15
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. ...Read more

16

16
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. ...Read more

17

17
Why is it that pneumonitis is common in doing chest X-ray as I have a very mild asthma according to the doctor who ordered pft to me? Also one doctor ordered antibiotic but symptoms of frequent cough still there and other doctor had given me corticosteroi

Why is it that pneumonitis is common in doing chest X-ray as I have a very mild asthma according to the doctor who ordered pft to me? Also one doctor ordered antibiotic but symptoms of frequent cough still there and other doctor had given me corticosteroi

Stick with 1 person: Sounds like you are shopping around for opinions. If you have chronic cough that is productive, there can be many causes. Working with one pulmonologist will help you get at the root of the problem. Asthma doesn't usually cause a productive cough, and most bronchitis is viral, so antibiotics won't work. Post nasal drip, allergies, chronic bronchitis, bronchiolitis, bronchiectasis, reflux, etc. ...Read more

18

18
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. ...Read more

19

19
How can you differentiate between bronchitis and pneumonia? A chest X-ray 3 days ago was neg. But I am increasingly winded despite being on nebulizer

How can you differentiate between bronchitis and pneumonia? A chest X-ray 3 days ago was neg. But I am increasingly winded despite being on nebulizer

Appearance on X-ray: Pneumonia is infected cells and debris filling the alveoli of the lungs. Bronchitis is infected cells within the airways. At x-rays and ct, pneumonia manifests as fluid attenuating the x-ray beam producing whiteness in an alveolar distribution. Bronchitis manifests as interlobular septal prominence and bronchial wall thickening. Usually antibiotic therapy is similar for both. ...Read more

20

20
Can lung cancer be detected in a chest X-ray for pneumonia?

Can lung cancer be detected in a chest X-ray for pneumonia?

Possible: But the pneumonia density can obscure, or be distal to a cancer.
Usually follow up x-rays or ct after acute pneumonia clears can be helpful. ...Read more

22

22
I was discharged from the hospital one week ago today. I had pneumonia. When should I get another chest x-ray?

I was discharged from the hospital one week ago today. I had pneumonia. When should I get another chest x-ray?

Usually no need: Follow-up chest x-rays usually aren't necessary as long as you're feeling better. X-ray improvement tends to lag behind clinical improvement, which means you could be completely recovered but still have an abnormal chest x-ray. ...Read more

23

23
I am a dental hygienist and was just told that I have a small area of pneumonia on my chest X-ray and was prescribed an antibiotic. Can I go to work?

I am a dental hygienist and was just told that I have a small area of pneumonia on my chest X-ray and was prescribed an antibiotic. Can I go to work?

Pneumonia: As long as you are feeling up to it, don't have a fever, trouble breathing or a severe cough and you started taking your antibiotic, you should be able to work. As a hygienist I'm sure you wear a mask when seeing patients. Good luck! ...Read more

24

24
Diagnosed with pneumonia. Chest X-ray shows inflammation lower left lobe. No fever, normal bp, just cough & rattling in chest. Really pneumonia?

Diagnosed with pneumonia. Chest X-ray shows inflammation lower left lobe. No fever, normal bp, just cough & rattling in chest. Really pneumonia?

Probably.: Consider a followup chest xray in a few weeks. Uncomplicated pneumonia usually resolves or significantly improves. Persistent infiltrates, especially if you are a smoker, often need a ct scan for more information. ...Read more

25

25
Why would my doctor send a repeat chest X-ray that showed the fluid in my lungs was better, but still there to a radiologist? Getting over pneumonia. X-ray performed after 2 weeks. Concerned.

Why would my doctor send a repeat chest X-ray that showed the fluid in my lungs was better, but still there to a radiologist? Getting over pneumonia. X-ray performed after 2 weeks. Concerned.

Doing better: Your doctor likely truly meant that the fluid in your lungs was better than it was 2 weeks ago, meaning you have less now. That's improvement, even though you may still have a little fluid on the X-ray as read by both the radiologist and your doctor. For further clarification on your specific case, please discuss this with your doctor, as we do not have access to your images. ...Read more

26

26
Can pneumonia/fluid in lungs cause swollen chest lymphnodes? Chest X-ray shows swollen nodes-chest only. Bad pneumonia-inpatient hospital IV meds.

Can pneumonia/fluid in lungs cause swollen chest lymphnodes? Chest X-ray shows swollen nodes-chest only. Bad pneumonia-inpatient hospital IV meds.

Mgt: This can occur. If you are producing sputum, culture results may help to guide therapy. An inbox consult is available and your films may be uploaded. ...Read more

28

28
Myleogram set up for 25th. Fused from c3/6. Pain in shoulder/back. Hurts to breathe. Chest X-ray risk for pneumonia. Should I go get MRI @ ER or wait?

Myleogram set up for 25th. Fused from c3/6. Pain in shoulder/back. Hurts to breathe. Chest X-ray risk for pneumonia. Should I go get MRI @ ER or wait?

Hurt to breathe, C Dr: If it hurts to breathe, and you're out of breath, and your pneumonia is getting worse, then it's time to go to the er. It's not wise to go to the er just to get an mri. That can be done electively. However, anything emergently needing medical care, in which your life is at risk, needs to be taken care of immediately. Also, smoking can make this worse. So don't delay. ...Read more

30

30
Had chest X-ray for continuing pain after thoracic muscle sprain. Rad says might have pneumonia? How could I have that with no cough/fever/congestion?

Had chest X-ray for continuing pain after thoracic muscle sprain. Rad says might have pneumonia? How could I have that with no cough/fever/congestion?

Pneumonia?: As you note, pneumonia is a clinical syndrome. You do not apparently have symptoms to suggest that. However, you have an abnormality on CXR that looks like it could be pneumonia. This will need a good explanation and perhaps a repeat CXR in a few weeks. ...Read more

Dr. Michael DePietro
2,234 Doctors shared insights

Pneumonia (Definition)

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