A Case of Acute Respiratory Failure Presenting Lobar Consolidation.

Shin, Tae Rim; Maeng, Sun Hee; Lee, Hyun Kyung; Kim, Hae Young; Chang, Jung Hyun

doi:1998.45.3.654

Tuberc Respir Dis > Volume 45(3); 1998 > Article

Case Report

Tuberculosis and Respiratory Diseases 1998;45(3):654-660.
DOI: https://doi.org/10.4046/trd.1998.45.3.654 Published online June 1, 1998.

A Case of Acute Respiratory Failure Presenting Lobar Consolidation.

Tae Rim Shin, Sun Hee Maeng, Hyun Kyung Lee, Hae Young Kim, Jung Hyun Chang

¹Department of Internal Medicine College of Medicine, Ewha Womans University, Seoul, Korea.
²Department of Diagnostic Radiology College of Medicine, Ewha Womans University, Seoul, Korea.

Abstract

Pulmonary embolism is one of the most common acute pulmonary disease in the adult general hospital populalion. However, the disease is still frequenfly unsuspected and underdiagnosed due to the nonspecifieity of both clinical findings and laboratory tests. The chest radiography in a patient suspected acute pulmonary embolism do not provide adequate information to establish or exclude the diagnosis of pulmonary embolism. Even in the case of infarction, there is no pathognomonic clues on the chest film. Rarely infarction presents unusual roentgenologic manifestation such as lobar consolidation, coin lesion, multinodular opacity, or massive pleural effusion. Especially, lobar consolidation in pulmonary embolism might mislead into the diagnosis of pneumonia. We experienced a case of pulmonary embolism presenting lobar consolidation in a 62 years old woman, originated from deep vein thrombosis. She took a compression stocking and underwent anticoagulant therapy with excellent outcome.

Key Words: Pulmonary Embolism, Lobar Consolidation