E‐mail: myamasanjp@yahoo.co.jp, Department of Rheumatology, Hiroshima Red Cross Hospital & Atomic‐bomb Survivors Hospital, Hiroshima, Japan, Department of Molecular and Internal Medicine, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan. Conclusion. Consolidation indicates solid or liquid occupying the normally gaseous areas in the lungs and may be due to accumulation of fluid, pus, blood, cells, gastric contents, protein or even fat in the lungs. Read more on pneumonia types and causes. An 18-year-old white woman experienced a sudden sharp pain in her right hemithorax three days prior to the present admission. 1A–C). Disclosure Statement With more advanced disease, crazy-paving pattern, consolidation, nodules, and cysts can also develop. Spectra Staffing Services . Patchy consolidation is typical of bronchopneumonia. Pulmonary consolidation may also be seen with non-infectious pneumonia, like aspiration pneumonia, where foreign material (solid, liquid or gas) enters the lung spaces and damages the parenchyma. These features, in addition to bloody BALF (which indicates pulmonary alveolar haemorrhage), may help clinicians effectively diagnose GPA . Although the term ‘consolidation’ is often used loosely and associated with pneumonia, it can also occur for various other reasons. Agarwal adds that in radiologic terms, ‘ground glass’ means that a hazy lung opacity shows up on imaging that is not dense enough to obscure any underlying pulmonary vessels or bronchial walls. Use the link below to share a full-text version of this article with your friends and colleagues. Paranasal sinus CT demonstrated bilateral maxillary sinusitis. 2-8). CT re-examination was performed, almost a month after the initial diagnosis of infection, which showed patchy and confluent reticular opacities associated with ground glass opacities and subsegmental consolidation in both the lungs, representing post-COVID-19 infection changes in the lungs with a component of fibrosis (Figure A). Symptoms of Lung Consolidation. This refers to a patchy consolidation often through more than one lobe and frequently bilateral. The underlying lung was completely collapsed (Fig 1). Consolidation of lung may also be caused by accumulation of fluid and solid material within the space the surrounds the lungs. It was possibly related to contact with a local fish and wild animal market (Huanan Seafood Wholesale Market), where there was also sale of live animals. Multiple patchy pulmonary consolidations that are unresponsive to antibiotics and/or exist at peri‐bronchial sites and bloody bronchoalveolar lavage may effectively help clinicians diagnose granulomatosis with polyangiitis. 2 Division of Pulmonary and Critical Care Medicine, Department of Medicine, ... Pathologically, the lungs in adenovirus pneumonia usually show patchy areas of hemorrhagic consolidation, ... is known to represent either interstitial or alveolar disease . Pneumonias associated with this pattern (e.g., Staphylococcus, Haemophilus, Pseudomonas) are characterized by thick and tenacious secretions and spread via airways rather than the pores of Kohn. Consolidation may be patchy in distribution and involve only certain lobules of the lung although it can be widespread and affect entire lobes of the lung. Pulmonary imaging commonly shows nodules with cavities, multiple patchy pulmonary consolidation in peri‐bronchial sites, and occasional air bronchograms . Laboratory examinations revealed leucocytosis and elevated C‐reactive protein levels. Chest radiography and non‐enhanced computed tomography (CT) revealed bilateral multiple patchy peri‐bronchial consolidation with air bronchograms (Fig. “Chest radiography of confirmed Coronavirus Disease 2019 (COVID-19) pneumonia A 53-year-old female had fever and cough for 5 days. If you do not receive an email within 10 minutes, your email address may not be registered, Learn more. There are numerous causes of multifocal consolidative opacities. According to the localization of the inflammatory foci, pneumonia is divided into two main subcategories as lobar pneumonia and … Pallor or cyanosis may also be present as well as coughing. Cavitation, bulging interlobular fissures and pleural effusion may also be evident. Patchy consolidation may be seen with bronchopenumonia while confluent consolidation seen in lobar pneumonia. Please check your email for instructions on resetting your password. Bronchoscopy revealed bloody bronchoalveolar lavage fluid (BALF; Fig. Enter your email address below and we will send you your username, If the address matches an existing account you will receive an email with instructions to retrieve your username. Airspace or patchy opacities may represent consolidation, atelectasis or mucoid impaction. Learn about our remote access options, Department of Respiratory Medicine, Hiroshima Red Cross Hospital & Atomic‐Bomb Survivors Hospital, Hiroshima, Japan, Masahiro Yamasaki, Department of Respiratory Medicine, Hiroshima Red Cross Hospital & Atomic‐Bomb Survivors Hospital, 1‐9‐6 Senda‐machi, Naka‐ku, Hiroshima 730‐8619, Japan. Bacterial pneumonia was suspected; however, antibiotics were ineffective. In pulmonar embolism it is not common to see consolidation. Patchy consolidation is seen on lower side bilateral in my grand son XXXXXXX 7 yrs old ... View answer. 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