Childhood pneumonia

Case contributed by Rad_doc

Presentation

1 week of fever and cough

Patient Data

Age: 8 years old
Modality: X-ray

Pulmonary opacity obscuring the left heart border 

Modality: Annotated image

Annotated radiographs demonstrating pulmonary opacity outlined in fuchsia.

Pulmonary consolidation is a non-specific term for pulmonary opacities seen on radiography that are the result from a process that fills the alveolar spaces (further discussion here). The differential for the radiologic finding of pulmonary consolidation includes blood (pulmonary hemorrhage), pus (infection, i.e. pneumonia), fluid (heart failure), and cells (cancer).

In our patient with a pulmonary consolidation, the clinical findings of fever, cough and elevated WBC count raise infection (i.e. pneumonia) to the top of our differential. Every pulmonary lobe can be affected by pneumonia. Familiarity of bronchopulmonary anatomy is necessary for accurate interpretation of chest radiographs.  An introduction to bronchopulmonary anatomy can be found here

A few more cases of pediatric pneumonia can be seen in the next examples....

Modality: X-ray

Pulmonary opacity in the left lower lobe is best appreciated overlying the lower thoracic spine on the lateral radiograph.

Modality: Annotated image

Annotated radiograph demonstrating pulmonary opacity outlined in fuschia.

Modality: X-ray

Pulmonary opacity in the right mid lung.

Modality: Annotated image

Annotated radiograph demonstrating pulmonary opacity outlined in fuschia.

Case Discussion

Strong knowledge of pulmonary anatomy is necessary for accurate interpretation of chest radiographs. Pediatric pneumonia is a common entity that nicely demonstrates lobar anatomy. 

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Case Information

rID: 47997
Case created: 13th Sep 2016
Last edited: 30th Sep 2016
System: Paediatrics
Inclusion in quiz mode: Included

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