Mycoplasma - In between bacterial pneumonia and
viral pneumonia in appearance, it can look like either and is a
joker
Bacterial pneumonia is now treated in most cases as an
outpatient with oral antibiotics.
Remember that the CXR always lags behind the patient's
clinical appearance during healing.
Approach/Discussion to Complicated Pneumonia:
Computed tomography needs to be pushed for early in complicated
cases. What is found on computed tomography will often modify therapy
substantially.
Radiologist's job is to detect, characterize, and follow the
infection in simple cases of pneumonia
When a pneumonia starts to become complex or in an immune
suppressed patient the radiologist needs to push for early use of
computed tomography to further identify the disease process and to
guide further therapy.
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