Question

A patient presents with a history of fever and cough for the past 3-5 days. His examination findings reveal crepitations. Chest X-ray is given below. What is the probable diagnosis?

• A. Apical segment of Right lower lobe consolidation
• B. Right middle lobe consolidation
• C. Posterior segment of right lower lobe consolidation
• D. Loculated pleural effusion

Answer 1

The Correct Option is B

The presented case involves a history of fever and cough, with physical examination revealing crepitations. These symptoms are suggestive of a lung infection or consolidation. Let's analyze the chest X-ray findings and options provided to determine the most likely diagnosis.

Key Features and Analysis:

1. Symptoms: The patient has a fever and cough, typical signs of a respiratory infection or inflammation.
2. Physical Examination: Crepitations indicate fluid in the alveolar spaces or consolidation.
3. X-Ray Findings: Without the visual aid, let's focus on possible options for diagnosis:

Options	Analysis
Apical segment of Right lower lobe consolidation	Not likely, as crepitations and fever typically indicate more central or middle lobe issues.
Right middle lobe consolidation	Consistent with the history and physical exam, presenting with typical pneumonia signs in this lobe.
Posterior segment of right lower lobe consolidation	Less probable without specific posterior findings or unique symptoms pointing to this area.
Loculated pleural effusion	Would present differently with typically distinct radiological features.

Conclusion:

The combination of clinical history, examination, and typical presentation on imaging strongly suggests Right middle lobe consolidation as the probable diagnosis. This aligns with common patterns of respiratory infections and their impact on the middle lobe, confirming this choice as the most fitting given the information.