What is the main finding on chest radiograph?
Diffuse bilateral perihilar consolidation.
What is the differential diagnosis?
In simple terms fluid, pus, blood, cells or apirates. This translate to pulmonary/interstitial oedema, penumonia, pulmonary haemorrhage, lymphoma/inflammatory infiltrates or minimally/preinvasive adenocarcinoma (formally known as BAC) and aspiration. Knowledge of clinical presentation is paramount to assist the clinician to reach a diagnosis.
The ETT is at the carina. NGT tube tip not visualised well. Diffuse bilateral perihilar consolidation with air bronchograms.