Table 1

Definitions of WHO chest radiograph findings (adapted from Cherian et al and Mahomed et al)5 7

FindingDefinition
QualityInterpretableImage is sufficiently interpretable for determining the presence or absence of alveolar consolidation
UninterpretableImage is insufficiently interpretable for determining the presence or absence of alveolar consolidation
ClassificationAlveolar consolidationPresence of a dense or fluffy opacity occupying a portion* or whole of a lobe or of the entire lung, which may or may not include air bronchograms and may or may not produce a silhouette sign†
Other infiltrateLinear or patchy densities not meeting alveolar consolidation criteria that may also be configured in a lacy pattern in one or both lungs, usually featuring peribronchial thickening or multiple areas of atelectasis
Pleural effusionFluid in the lateral pleural space between the lung and chest wall, not including fluid in the horizontal or oblique fissures
ConclusionPEPPresence of alveolar consolidation or pleural effusion that is associated with any type of consolidation (alveolar or other infiltrate)
Other infiltratePresence of other infiltrate not associated with a pleural effusion
No PEP or other infiltrateAbsence of alveolar consolidation, other infiltrate or pleural effusion
  • *Defined as a consolidation that has its smallest diameter greater than or the same size as one posterior rib and its adjacent rib space at the same level as the consolidation.

  • †Defined as the loss of an anatomical border adjacent to any consolidation.

  • PEP, primary endpoint pneumonia.