Case 7 : Question : A 3 month old boy having hepatosplenomegaly. What is the diagnosis?
Case 6 : Question : A 5 year old girl with fever, cough, and dyspnea. What is the diagnosis?
Case 5 : Question : A 1 year old boy with choking, cough and wheezing. What is the diagnosis?
Case 4 : Question : Chest radiograph of a 3 month boy. What is the diagnosis?
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Question : A 5 year old girl with fever, cough, and dyspnea. What is the diagnosis?
Panruethai Trinavarat,M.D.
Assistant Professor.
Department of radiology, Faculty of medicine,
Chulalongkorn University
Case 6 :
Question :
A 5 year old girl with fever, cough, and dyspnea. What is the diagnosis?
Answer :
Round pneumonia
Pneumonia in children, particular those younger than 8 years – whose collateral pathway of air circulation is not well developed-, may appear as a round mass on chest radiograph. The most common infectious agent for round pneumonia is streptococcal pneumoniae.
If the child has symptoms of pneumonia and a round opacity on chest radiograph, round pneumonia is suggested and there is no need to perform CT scan. However, follow-up chest X-ray several weeks after antibiotic treatment is suggested to exclude underlying mass.
