Pneumonia - Diagnosis 

Diagnosing pneumonia 

Screening for lung cancer

Although uncommon, pneumonia can sometimes be a symptom of underlying lung cancer in people who smoke and are 50 years of age or over.

If you fall into one of these groups, your GP may refer you for a chest X-ray. Lung cancer usually shows up on X-rays as a ‘white-grey’ mass.

If your X-ray does not detect cancer, a  follow-up X-ray is recommended six weeks later. This is a way of ‘double-checking’ all is well with your lungs.

Your GP can often diagnose pneumonia by asking questions about your symptoms and examining your chest. In some cases, further tests may be needed.

Pneumonia can sometimes be difficult to diagnose as it shares many symptoms of other conditions, such as the common cold, bronchitis and asthma.

To make a diagnosis, your doctor may first ask:

  • whether you are breathing faster than usual
  • if you feel breathless
  • how long you have had your cough
  • whether you are coughing up sputum and what colour it is
  • if the pain in your chest is worse when you breathe in or out

Your doctor will probably take your temperature and listen to the back and front of your chest with a stethoscope, to check for any crackling or rattling sounds.

They may also listen to your chest by tapping it. If the lungs are filled with fluid, this produces a different sound to normal, healthy lungs.

Most people with mild pneumonia do not need to have a chest X-ray or other tests.

Chest X-ray and other tests

Your GP may arrange a chest X-ray or other tests if your symptoms have not started to improve within 48 hours of starting treatment.

A chest X-ray can show how much your lungs are affected. It can also help the doctor distinguish between pneumonia and other chest infections, such as bronchitis.

Your GP may also arrange:

Analysing samples of sputum or blood can help identify the bacterium or virus causing the infection.

Last reviewed: 15/06/2012

Next review due: 15/06/2014

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Comments are personal views. Any information they give has not been checked and may not be accurate.

pmgleave said on 27 March 2013

I contracted pneumonia in both lungs in December 2011 quite suddenly, one day I was busy tiling a customers bathroom and in the evening developed a severe pain in my back, it was so intense that I could not lie down. The next day I was persuaded by my wife and children to visit my local walk in centre in Widnes (I would normally just work through an illness). Within twenty minutes of seeing the nurse I was in an ambulance on my way to Whiston Hospital where I was admitted straight away and diagnosed with double pneumonia and pleurisy added to which I had a further complication known as empyema. I spent three weeks in hospital and a further two months fully recovering. I could not have had better treatment anywhere in the world (My brother lives in Michigan USA and finds it expensive to find insurance and lots of conditions are not covered). I have made a full recovery and I salute our NHS for the service they provide.

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Kkim567 said on 24 March 2013

I completely agree with above comment.

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Lucrecius said on 18 July 2012

During the last 10 days I had the opportunity to compare my health clinic, the American Health system and the UK emergency service.
My 11 year old daughter started us off. High temperature, sick etc. Although going twice to the health service the advice was to drink a bit water and take Nurofen. Poor child had to suffer unnecessarily for days and developed mild pneumonia. Only a visit in the night to an emergency clinic gave us Erythomycin - which cleared it in one go.
Of course my wife and I got it at the same time. My wife meanwhile travel to the States went to the clinic there- x-ray done -clear Diagnose within one hour and got the first shot of Erythomycin right there plus an inhaler to ease breathing.
Well I went to my health clinic in the UK - first they told me that my daughters emergency treatment was probably a wrong diagnose - then just looking in my ears and listening to my chest decided I should wait a couple of days as it might clear up by itself. Just for the records I had high fever for 3 days already by then. I insisted on antibiotics but decided to wait 2 days as I generally don`t like taking drugs. Things got worse fever, breathlessness etc. so I unpacked the drug and found it was a common amoxycylin to weak to deal with pneumonia.
I don`t work in the NHS.
I think think emergency services are really good. But health clinics...chest x-ray should be possible right there. Incredible how many people suffer for days unnecessarily.

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X-rays

Bone is a very hard and dense tissue that shows up clearly on X-rays. X-rays are therefore very useful for diagnosing bone-related problems