A 98-year-old man with 2 days of headache, nausea, malaise and unsteadiness was referred to the ED by his GP with a suspicion of an intracranial bleed. His medical history included atrial fibrillation (AF) (taking warfarin). Observations were SpO2 95% on air, RR24, HR88, BP210/104, GCS14, Temp 34.3. On examination he had bilateral creps and was sleepy but not confused. A septic screen was undertaken and intravenous ceftriaxone given. His CTH was essentially normal. His CXR is shown in figure 1.
Question What is the diagnosis?
Acute collapse and consolidation secondary to pneumonia.
Acute consolidation with underlying old TB.
Traumatic lung contusions.
- infectious diseases
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Contributors GP wrote the manuscript. MF gained consent from the patient and reviewed the manuscript. HM reported the images and reviewed the manuscript.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
Patient consent for publication Obtained.
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