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Age: 3

Sex: Female

Indication: Cough, wheezing

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Case #42


Findings

  • Hyperinflation with hazy perihilar opacities
  • No pleural effusion or pneumothorax
  • Normal size and configuration of the cardiopericardial silhouette


Diagnosis

  • Viral bronchiolitis

Sample Report

Hyperinflation with hazy perihilar opacities which may relate to viral bronchiolitis or inflammatory airways disease.

No pleural effusion or pneumothorax.

Normal size and configuration of the cardiopericardial silhouette.


Discussion

  • The hallmark of viral bronchiolitis in young children (< 2) is hyperinflation, which is usually accompanied by peribronchial thickening and scattered subsegmental atelectasis. In older children, hyperinflation is not always present, though it is in this case
  • 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 hemidiaphragms on both views



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