Citation, DOI and case data
Cough and fever.
Loading Stack -
0 images remaining
Well-defined rounded opacity in the right upper zone is most compatible with round pneumonia given the history.
No other focal opacity noted. No effusion or pneumothorax.
Cardiothymic silhouette is normal in size.
No hilar or mediastinal lymphadenopathy.
Given the patient’s age and presentation, the imaging findings should be interpreted as “round pneumonia”. A solitary metastatic nodule is uncommon at this age.
Round pneumonia is almost exclusively visualized during thoracic imaging of pediatric patients. The shape of these infiltrates may be explained by anatomical characteristics that predispose pediatric patients to develop more compact, less diffuse infiltrates.
As with all bacterial pneumonia, the causative pathogen in round pneumonia is most often S. pneumoniae. Round pneumonia is treated with appropriate antibiotic therapy as for community-acquired pneumonia.
This case was submitted with supervision and input from:
Soni C Chawla, M.D.
Department of Radiological Sciences
David Geffen School of Medicine at UCLA
Olive View - UCLA Medical Center
- 1. McLennan MK. Radiology rounds. Round pneumonia. (1998) Canadian family physician Medecin de famille canadien. 44: 751, 757-9. Pubmed
19 public playlist include this case
- Paeds by Michael Truong
- gu peds nov 14 by Dr Karina Dorfman
- Chest by Dr. Kayla Beck
- 2 by Susantha indika Mahindawansha
- Frcr 2b by Syed Rahman
- Tutorial by HOUDA ISMAIL AGHIL
- Prüfung 22.02.2022 by Bernhard
- Paeds COD by Dr Isaac Lui
- Paediatrics by Nicholas Chen
- viva by Asothai Ethayarooban
- Thoracic FRCR 2B by Dr Feras Salhi
- Peadiatrics by Dr Muhammad Bin Zulfiqar
- CXR by Dr Mohammad Alostad ◉
- FRCR 2B by Janice Wee Yong Li
- Barnradiologi by Dr Valentinos Charalambous
- PED - Others by YUN SUNGEUN
- pediatric chest by AHMED BELETA
- FRCR Viva 5 by Dr Saneej Kanhirat
- Pediatric Chest by DR. SOO-CHIN TEO