Right middle lobe pneumonia (pediatric)
Case contributed by Dr Balint Botz ◉
Diagnosis almost certain
Presentation
High fever, cough, dyspnoe, circumoral cyanosis, reduced oxygen saturation
Patient Data
Age: 2
Gender: Female
From the case:
Right middle lobe pneumonia (pediatric)
X-ray
Initial CXR
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Frontal
Circumscribed consolidation overlying the right hilum (see key image), enlarged hila (key image 2), increased bronchovascular markings.
From the case:
Right middle lobe pneumonia (pediatric)
X-ray
Control CXR two weeks later
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Frontal
Regression of the right-sided consolidation and hilar enlargement (see comparison image). Bronchovascular markings still moderately increased.
Case Discussion
Typical presentation of right middle lobe pneumonia and diffuse bronchitis in children, with consequent enlargement of the hila due to lymphadenopathy. The pneumonia was successfully treated using broad spectrum antibiotics.
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Summary
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3 Annotations
right middle lobe pneumonia and diffuse bronchitis
2020/11/09 20:09
enlargement of the hila due to lymphadenopathy.
2020/11/09 20:10
increased bronchovascular markings.
2020/11/09 20:10
