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Age: 1

Sex: Female

Indication: Cough and fever

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Case #1


Findings

  • No focal airspace disease, pleural effusion, or pneumothorax
  • Normal size and configuration of the cardiopericardial silhouette


Diagnosis

  • Normal

Sample Report

No focal airspace disease, pleural effusion, or pneumothorax.

Normal size and configuration of the cardiopericardial silhouette.


Discussion

  • It is tempting to call viral bronchiolitis on all pediatric chest radiographs
  • However, in this child who is younger than 2, there really should be hyperinflation. The apparent perihilar haziness in this case is most likely a result of lower lung volumes resulting in crowding of hilar strctures
  • As a general rule, there is hyperinflation if the lungs are expanded below the 6th anterior or 9th posterior rib on the frontal view. There should be flattening of the diaphragms on both views



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