Different Radiological Features of Different Types of Pneumonia

4th Pediatric Infectious Diseases Conference

ISSN 0973 - 0958

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RADIOIMAGING OF PULMONARY INFECTIONS IN A CHILD

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Childhood Pneumonia,lobar pneumonia and bronchopneumonia

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Radiology Role in Pulmonary Infection

Dr Priya Chudgar.
Lecturer in Radiology,
Department of Radiology,
KEM Hospital,
Mumbai.

Q) What are the different radiological features of different types of pneumonia?

A: Though it is difficult to evaluate the organism causing pneumonia, some typical radiological features may suggest the likely etiology: for eg.

Lobar or segmental consolidation & atelectasis are more typical of bacterial infection whereas hyperinflation, bilateral patchy/streaky densities, peribronchial thickening are suggestive of non-bacterial diseases.
Pneumonia & pleural fluid in a child less than one year indicates staphylococcal infection.
Hilar/mediastinal lymphadenopathy in conjunction with pulmonary consolidation suggest pulmonary tuberculosis, histoplasmosis, fungal infections.
Pneumatoceles & classical bronchopneumonic pattern is suggestive of staphylococcal aureus
Diffuse air trapping with hyperinflation & streaky densities radiating from hila are commonly seen with RSV infection.
Complete radiographic clearing is the rule in viral infection.

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