Presentation
Stridor. Radiograph obtained due to history of possible foreign body ingestion (coin).
Patient Data
Age: 11 months
Gender: Male
Download
Info

Steeple sign (narrowing of the upper trachea). Otherwise normal radiograph.
Case Discussion
Chest x-ray showing the steeple sign often seen in croup 1.
This 11 month old male presented with stridor. A recent history of cough and fever with additional examination findings of expiratory wheeze in a fully vaccinated child were consistent with croup.
A radiograph was obtained due to concern regarding possible ingestion of a coin. Routine imaging is not usually required in croup, as it is mostly a clinical diagnosis 2.