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Updated: Aug 14, 2026

Lung CT Segmentation to Identify Consolidations and Ground Glass Areas for Quantitative Assesment of SARS-CoV Pneumonia
Published on: December 19, 2020
Clinical and radiographic evidence of pneumonia
Tyler R Wilkins1, Robert L Wilkins
1Loma Linda University Medical Center, California, USA.
Insights
Chest X-rays are standard for diagnosing pneumonia but often yield negative results. Clinical evaluation, especially in children with fever and rapid breathing, improves diagnostic accuracy for pneumonia.
Area of Science:
- Medical Diagnostics
- Pulmonology
- Radiology
Background:
- Pneumonia is a prevalent and potentially fatal global disease.
- Accurate diagnosis and timely treatment are critical for managing pneumonia.
- Chest radiography is the established gold standard for pneumonia diagnosis.
Purpose of the Study:
- To review literature on the correlation between clinical and radiographic pneumonia findings.
- To analyze these correlations across pediatric, adult, and geriatric populations.
Main Methods:
- Literature review of studies on pneumonia diagnosis.
- Analysis of clinical signs and radiographic evidence.
- Comparison of diagnostic utility across different age groups.
Main Results:
- Chest radiographs were frequently negative in suspected pneumonia cases across all ages.
- Pediatric patients exhibit distinct signs like fever and tachypnea, indicating need for radiography.
- No single clinical finding reliably predicted pneumonia in adults and geriatrics.
Conclusions:
- Chest radiography has limited diagnostic yield in many pneumonia cases.
- Integrating thorough clinical examination, particularly in pediatric patients, enhances chest film utility.
- Clinical assessment is crucial for optimizing pneumonia diagnosis.
Context:
Pneumonia is a common disease worldwide that can be fatal if not diagnosed and treated properly. The gold standard for diagnosing pneumonia is the chest radiograph.
Purpose:
A review of the literature identified the relationship between clinical and radiographic evidence of pneumonia within pediatric, adult and geriatric populations.
Results:
The chest radiograph was frequently found to be negative in patients suspected of having pneumonia regardless of age. Pediatric populations show distinguishing signs and symptoms when pneumonia is present. Fever and tachypnea in children are strong clinical indicators that a chest radiograph is needed. No single sign or symptom predicted pneumonia with a high degree of certainty in adult and geriatric patients.
Conclusion:
The chest radiograph is a popular diagnostic tool in the care of patients suspected of having pneumonia but has a low diagnostic yield in many cases. The clinical utility of the chest film could be improved by careful clinical examination of the patient before obtaining the radiograph, especially in pediatric patients.
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