Presentation
Fever and chills.
Patient Data
Age: 3 years
Gender: Male
From the case:
Round pneumonia
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/73195/annotated_viewer_json?_c=1673092268\u0026lang=us"}
X-ray demonstrates a well-defined right perihilar round mass-like opacity.
The stomach is dilated and filled with air, presumably due to crying.
From the case:
Round pneumonia
{"current_user":null,"step_through_annotations":true,"access":{"can_edit":false,"can_download":true,"can_toggle_annotations":true,"can_feature":false,"can_examine_pipeline_reports":false,"can_pin":false},"extraPropsURL":"/studies/73196/annotated_viewer_json?_c=1673092268\u0026lang=us"}
A follow-up chest radiograph after 2 weeks of antibiotic therapy demonstrating nearly complete resolution of the right perihilar lesion.
Case Discussion
The recognition of this entity is important in that pneumonia can mimic a mass or other mass-like lesions on X-ray, especially in the pediatric population. In most cases, follow-up images are helpful.