67 yo nursing home patient presents with altered mental status. Vitals signs are as follows: BP 92/78, HR: 115, RR: 35, O2 sat: 89%. Patient is moaning and uncooperative with the physical exam. On auscultation, you are unable to appreciate any overt lobular rales or wheezing. You think you feel a distended bladder in the suprapubic region. Ultrasound shows the following in the right posterior lung field. What is the finding and diagnosis?
PTX
looks consolidation
Either dynamic air bronchogram in RLL, or gas in biliary tree with raised right hemidiaphragm.
Pneumonia and air bronchogram