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Age: 2

Sex: Female

Indication: Cough, fever

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Case #50


Findings

  • Mild hyperinflation with diffuse peribronchial thickening
  • No focal airspace opacification, pleural effusion, or pneumothorax
  • Normal size and configuration of the cardiopericardial silhouette


Diagnosis

  • Viral bronchiolitis

Sample Report

Mild hyperinflation with diffuse peribronchial thickening, which can be seen with viral bronchiolitis. No focal airspace opacification.

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
  • 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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