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Legionella pneumonia presenting as a bulging fissure on chest roentgenogram

R S Lucas1, T V Kuzmowych, S V Spagnolo

  • 1Pulmonary Diseases Section, Veterans Administration Medical Center, Washington, D.C.

Chest
|August 1, 1991
PubMed

Insights

Legionella pneumonia can cause a bulging interlobar fissure, a finding typically seen on chest X-rays. This case highlights Legionella as a potential cause of this specific radiographic abnormality.

Area of Science:

  • Medical Imaging
  • Infectious Diseases
  • Pulmonology

Background:

  • Legionella pneumonia is a severe form of bacterial pneumonia.
  • A bulging interlobar fissure on chest roentgenogram is a recognized radiographic sign.

Observation:

  • A case of Legionella pneumonia was observed to present with a bulging interlobar fissure on a lateral chest roentgenogram.

Findings:

  • The imaging finding of a bulging interlobar fissure was associated with Legionella pneumonia in this patient.
  • This suggests Legionella can be an etiologic agent for this radiographic sign.

Implications:

  • Radiologists and clinicians should consider Legionella in the differential diagnosis of bulging interlobar fissures.
  • This expands the known spectrum of radiographic presentations for Legionella infections.

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