PRESENTING FELLOWDr. Abdullah Al Shamrani
Respiratory resident, Alberta Children's Hospital
University of Calgary, Alberta
THE CASEA 13 month old girl with a history of recurrent chest infections.
HISTORYA13 month old girl was transferred from a regional hospital to our teaching hospital for further management of a complicated pneumonia. She was a previously healthy child with an unremarkable past medical history and normal development.
In November, she developed a flu-like illness with upper respiratory tract symptoms.
One week later she was admitted to a local hospital with a history of fever, wet cough, and some respiratory distress for 3 days. She was diagnosed as having pneumonia and was treated with penicillin G.
Four days into the course of antibiotics she was not improving and was transferred to the regional hospital.
REVIEW THE CHEST RADIOGRAPH BELOW, AND GIVE YOUR OPINION ON THE FINDINGS.
ENLARGE the chest X-ray