Abstract
Round pneumonia or coin pneumonia is a rare variant in adults, although it is very common in the pediatric age group patients. It can mimic as a pulmonary mass on imaging, which can lead to broad differential diagnosis or misguidance toward the conditions like bronchogenic carcinoma or other benign conditions which can lead to unnecessary diagnostic work up like computerized tomography scan and even a biopsy. We report a case of 45-year-old female with this rare presentation of pneumonia.
Highlights
IntroductionIt is an oval shaped consolidation with nonsegmented pattern and centrifugal distribution
It is an oval shaped consolidation with nonsegmented pattern and centrifugal distribution. It is a rare variant comprising around 1% of pneumonia, the chest x-ray finding of round pneumonia is even found in less than 1% cases of these round pneumonia (Porstmann, 1977)
Rose and Ward (1973), it was recognized as a clinical entity as round pneumonia
Summary
It is an oval shaped consolidation with nonsegmented pattern and centrifugal distribution It is a rare variant comprising around 1% of pneumonia, the chest x-ray finding of round pneumonia is even found in less than 1% cases of these round pneumonia (Porstmann, 1977). Rose and Ward (1973), it was recognized as a clinical entity as round pneumonia Unfamiliarity of this variant in adults can lead to extensive diagnostic work up like C.T scan or even biopsy in this benign condition which is just a consolidation opacity of infectious etiology. Patient was discharged on 10th day with repeat chest x-ray on 18th day demonstrated clearance of round opacity. She responded well to the antibiotics, so no further investigations were done.
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