RADIOGRAPHIC APPEARANCE OF ROUND PNEUMONIA IN CHILDREN

Abstract

Round pneumonia is a disease of childhood. Chest x-ray is the first and inexpensive modality of its diagnosis however there are few articles in describing the radiographic appearance of this entity. So we evaluated chest xray of 24 cases with radiologically proved round pneumonia in our hospital in a period of 12 years. Age, sex, clinical and radiological findings of location, number of lesion are evaluated. According to this study mean age of patients was 4 years old(1 month -11 years). 10 cases (42%) were female and 14 cases (58%) were male with male / female ratio of 1.4/1. Clinical symptoms were fever, chill, cough and shortness of breath in 23 cases and presenting as acute abdomen in one case.22 cases (92%) revealed only one lesion and 2 cases(8%) had 2 and 3 lesions. Location of lesions were as follow, right upper lobe 37.5%, right lower lobe 37.5%, left lower lobe 12.5%, left upper lobe 8.3% and right upper and right lower lobe simultaneously 4.2%. conclusion: like other study most of round pneumonia occur under 8 years of age and all of them was under 12 years old. This pneumonia presented as solitary lesion which more common involvement of lower lobes.

Keywords : Round pneumonia, Children, Radiography