Round pneumonia

Case contributed by Dr Yusra Sheikh


Presented to the emergency department with vomiting, diarrhoea and shortness of breath.

Patient Data

Age: 7 years
Gender: Male

There is a round opacity in the right perihilar mid zone region with somewhat irregular margin. The right cardiac border is not obscured. A further area of airspace opacification is seen superior to the mass like round opacity. There is no pleural effusion. Heart size and cardiomediastinal contours are normal. Oxygen tubing mask noted.


Follow up chest radiograph 6 weeks after initial presentation. Both lungs are clear with complete resolution of previously demonstrated areas of air space opacification.

Case Discussion

Findings in this case are most suggestive of a round pneumonia. A similar appearance of the initial radiograph in an adult patient may be worrisome and warrant further imaging.

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Case information

rID: 68757
Published: 12th Jun 2019
Last edited: 29th Aug 2019
Inclusion in quiz mode: Included

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