CTICasesPectus excavatum mimicking right middle/lower lobe pneumonia (pseudo-pneumonia)
Imaging findings
Chest radiograph shows a density in the right lower hemithorax with apparent air bronchograms, mimicking a right lower lobe pneumonia. The lateral radiograph and CT confirm a severe pectus excavatum deformity and calcified cosmetic breast implants.
Key takeaways
Severe thoracic deformities like pectus excavatum can compress the right heart border and adjacent lung, creating a pseudo-consolidation on frontal radiographs. The presence of cosmetic breast implants can further confound the interpretation.
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