Discussion Forum


A patient with severe community acquired pneumonia (CAP) and respiratory failure. What are the findings in the chest x-rays?

By: Marcelo Alcantara, Médico - 06/09/2018 07:24

A 22 years-old man, with severe CAP, HIV+, had moderate to severe hypoxemia at ICU admission, PaO2/FIO2 168 after intubation.

He was ventilated in the VCV mode, VT 340ml, which was changed to 400ml after two days. His driving pressure was initially measured in 15cmH2O, and it raised to 17cmH2O due to changes in the VT .

His height was 1,60m.

At the 3rd day in the ICU, an x-ray showed the findings below. 

What are the main findings of both chest x-rays? Please compare them.

Click on the image to see it with a better definition in a new window.

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