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Right middle lobe pneumonia (pediatric)

Case contributed by Dr Balint Botz ◉

Diagnosis almost certain

Diagnosis almost certain

Presentation

High fever, cough, dyspnoe, circumoral cyanosis, reduced oxygen saturation

Patient Data

Age: 2

Gender: Female

From the case: Right middle lobe pneumonia (pediatric)

X-ray

Initial CXR

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Frontal

Circumscribed consolidation overlying the right hilum (see key image), enlarged hila (key image 2), increased bronchovascular markings.

From the case: Right middle lobe pneumonia (pediatric)

X-ray

Control CXR two weeks later

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Frontal

Regression of the right-sided consolidation and hilar enlargement (see comparison image). Bronchovascular markings still moderately increased.

Case Discussion

Typical presentation of right middle lobe pneumonia and diffuse bronchitis in children, with consequent enlargement of the hila due to lymphadenopathy. The pneumonia was successfully treated using broad spectrum antibiotics.

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