Presentation
Presented to the emergency department with vomiting, diarrhea and shortness of breath.
Patient Data
There is a round opacity in the right perihilar mid zone region with somewhat irregular margin. The right cardiac border is not obscured. A further area of airspace opacification is seen superior to the mass like round opacity. There is no pleural effusion. Heart size and cardiomediastinal contours are normal. Oxygen tubing mask noted.
Follow up chest radiograph 6 weeks after initial presentation. Both lungs are clear with complete resolution of previously demonstrated areas of air space opacification.
Case Discussion
Findings in this case are most suggestive of a round pneumonia. A similar appearance of the initial radiograph in an adult patient may be worrisome and warrant further imaging.