Clinical information: fever and shortness of breath Comparison exam is 11/01/06 Findings: Cardiomediastinal silhouette is normal. This phenomenon is known as air bronchogram and it is a characteristic sign of consolidation. Chest xray This is a PA and lateral chest radiograph on Mr X, (med rec if known), performed on 11/7/06. If the larger airways are spared, they are of relatively low density (blacker). If an area of lung is consolidated it becomes dense and white. They all look similar and clinical information will often help you decide the diagnosis. The recent COVID-19 radiological literature is primarily focused on CT findings 510, which is more sensitive than chest x-ray (CXR).In mainland China, CT was often a first-line investigation for COVID-19 11,12. It is important to be aware that consolidation does not always mean there is infection, and the small airways may fill with material other than pus (as in pneumonia), such as fluid (pulmonary oedema), blood (pulmonary haemorrhage), or cells (cancer). The hot reporting service offered during normal hours, with reduced service at the weekend, ensured that the large majority of reports were available before the RT-PCR result. If the alveoli and small airways fill with dense material, the lung is said to be consolidated. The blood results are usually interpreted in conjunction with various other tests, including findings from a chest x-ray (CXR). If there is an area that is different from the surrounding ipsilateral lung, then this is likely to be the abnormal area. Once you have spotted asymmetry, the next step is to decide which side is abnormal. Asymmetry of lung density is represented as either abnormal whiteness (increased density), or abnormal blackness (decreased density). Many patients can now access their electronic health records online. Typically, the radiologist sends the report to the person who ordered your test, who then delivers the results to you. Remember many lung diseases are bilateral and symmetricalĪssess the lungs by comparing the upper, middle and lower lung zones on the left and right. This guide provides a structured approach to documenting the findings of a CXR in a patient’s notes. The radiologist writes the report for your provider who ordered the exam.
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