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Diagnosing aspiration pneumonia. Diagnosis is based on clinical signs and symptoms of pneumonia when risk factors and history are consistent with the likelihood of aspiration. Testing usually includes O2 sat, chest X-ray (CXR), complete blood count (CBC), sputum Gram stain, and sputum culture.
The doctor can also take a picture of your lungs using a chest x-ray or CAT scan to look for abnormalities in the structure of the lungs, such as an infection like pneumonia. However, these two tests can still miss important problems. For this reason, a breathing test, called spirometry, is often done to further evaluate the health of the lungs. Spirometry can tell you how much air is going into the lungs and how rapidly air is inhaled and exhaled in the lungs (airflow).