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Diagnosis this zray

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analyse_media
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"chest radiography" AND "pneumonia"

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ACR Appropriateness Criteria acute respiratory illness chest radiography interpretation

Reading File
This is a single photographed chest X-ray, so it cannot replace an official radiology report. The image appears to show:
  • Right lower chest opacity (the patient’s right side is on the left of the image)
  • Blunting/obscuration of the right costophrenic angle, suggesting a right pleural effusion
  • Associated right basal air-space collapse or consolidation is possible
Most likely impression: Right-sided pleural effusion with adjacent right lower-lobe atelectatic change or pneumonia.
There is no obvious large pneumothorax. The left lung is relatively clear.
Please have the original image reviewed promptly by a radiologist/clinician, especially if there is fever, cough, breathlessness, chest pain, low oxygen level, or worsening symptoms. A lateral view, chest ultrasound, or CT may be needed to distinguish fluid from pneumonia/collapse. Chest X-ray findings must be interpreted together with symptoms and examination, since an infiltrate alone does not establish the cause. A recent review also notes the limitations of chest radiography for confirming pneumonia (2025 systematic review).
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