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Case 20
Case #20
Chest radiograph of a four-month child with fever and respiratory distress.
This chest radiograph demonstrates the classic appearance of airspace opacities with a small cavitation. A classical pneumococcal consolidation is generally homogeneous, and may show a bronchogram– radiological evidence of consolidation. Air bronchograms are variable in children. However any cavity is a bad sign, indication of either formation of pneumatoceles formation or areas of breakdown. This patient had a severe staph pneumonia with multiple abscesses. Some pathological correlation is provided in the form of a web source.
Case 22
Follow-up radiograph is presented. There is a long air-fluid level in the left pleural space? This is a large hydropneumothorax in the left pleural cavity after repair of a congenital diaphragmatic hernia. This is a usual postoperative process that takes place after reduction of a large hernia. Cavity will resolve and organize with time. You do not see the lung in this case because it is hypoplastic, too early to predict the future outcome of lung expansion.
Case 23
Hypoplastic lung is one of the prognostic indicator for the surgical outcome of diaphragmatic hernia repair. Mediastinal vascular compression also contributes to the overall clinical picture. Note that there are still bowel loops in the abdomen, probably loops of large bowel. Immediate and late postoperative chest films are provided. Note that initially the chest cavity is replaced by large pleural space. Subsequently the left lung showed some expansion. Depending on the maturity of the left lung subsequently the chest cavity will be occupied by the left lung
Case 25
Follow up radiograph after 10 day is added. Patient recovered completely without antibiotics. Some of these cases may show fine foci of calcification on healing.
Case 26
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