Round pneumonia

Case contributed by Dr Yusra Sheikh

Presentation

Presented to the emergency department with vomiting, diarrhoea and shortness of breath.

Patient Data

Age: 7 years
Gender: Male
X-ray

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.

X-ray

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.

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Case information

rID: 68757
Published: 12th Jun 2019
Last edited: 12th Jun 2019
Inclusion in quiz mode: Included

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