Respiratory distress with cough and pyrexia. Generally unwell for 2 days, but worse over last 12 hours.
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Generalised prominence of bronchovascular markings in a perihilar distribution but no confluence consolidation or collapse.
Nearly all children who have a chest x-ray performed will have a degree of peribronchial thickening in the perihilar regions. It's a function of the fact that only sick children get a chest x-ray.
Features here are of a viral infection and with the history and age, the most likely diagnosis is bronchiolitis.
Bronchiolitis is very common and a chest x-ray is useful to determine whether there is any additional consolidation of collapse that might require further treatment, e.g. for superimposed bacterial chest infection.