Round pneumonia

Case contributed by Dr Andrew Dixon

Presentation

6 year old girl.

Patient Data

Age: 6 years
Gender: Female
Modality: X-ray

There is a roughly 4cm diameter density in right lower zone medially with preservation of the right heart border and hemidiaphragm outlines indicating that this is most likely located posteriorly. There is no rib splaying or erosion.

In the absence of clinical history, the differential for this posterior lesion in a child might include round pneumoniabochdalek herniadiaphragmatic eventrationpulmonary sequestration, pulmonary or pleural mass / abscess and possibly a posterior mediastinal neurogenic or neuroblastic tumour.

Case Discussion

In this case the clincal history was 3 days of cough and right upper quadrant pain suggesting round pneumonia as the cause.

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Case Information

rID: 10649
Case created: 31st Aug 2010
Last edited: 5th Dec 2016
Systems: Chest, Paediatrics
Inclusion in quiz mode: Included

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