Always look at imaging yourself. Always, always, always. I was called for an admission. Young adult, no medical problems, lives in US, no travel, pets, tobacco/drugs/alcohol, no incarceration, periods of homelessness, lives at home with wife and kids and paints for a living.
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Should be, but there’s some questionable interaction with azithro I believe? He had already completed a course of augmentin which didn’t touch it, and no reason to think he was underdosed/malabsorption or MRSA/PS risk. Given his stability, I was comfortable holding off to be safe
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And I absolutely agree with the initial CXR read, but there’s a subtle cavitation. I also had the luxury of the CT getting done right away and the post-test probability was so high after that I held off antibiotics altogether.
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