Round pneumonia

Case contributed by Frank Gaillard

Presentation

Fever and cough.

Patient Data

Age: 4 years
Gender: Male

Chest x-ray

x-ray

Rounded region of consolidation in the right mid-zone that has central air-bronchograms and a slgihtly irregular margin.

Annotated image

Annotated image

Seen traversing the rounded, ill-defined opacity in the right lung are branching linear lucencies (blue arrows) typical of air bronchogram - representing air filled larger airways surrounded by consolidated lung. 

Case Discussion

This case demonstrates typical appearances of round pneumonia. It is essential that all doctors looking after children are aware of this entity if unnecessary concern and investigations are to be avoided. 

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