ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...
Transcript of ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...
![Page 1: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/1.jpg)
ACUTE PULMNARY INFECTIONS:
UNDERSTANDING THE CHEST
RADIOGRAPH
Leonard E. Swischuk, M.D.
University of Texas Medical Branch
![Page 2: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/2.jpg)
AUTHOR HAS NOTHING TO
DECLARE
![Page 3: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/3.jpg)
LEARNING OBJETIVES
Understand the pathophysiology behind
images of pulmonary infections.
Be able to evaluate chest radiographs with
more confidence.
Appreciate common pitfalls in radiographic
image assessment.
![Page 4: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/4.jpg)
PULMONARY INFECTIONS
TO BE CONSIDERED
─Bacterial
─Viral
─Mycoplasma
![Page 5: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/5.jpg)
PATHOPHYSIOLOGY
Airspace (alveolar) disease
Airway (bronchial) disease
![Page 6: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/6.jpg)
CONFUSING CASES
![Page 7: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/7.jpg)
CASE 1
![Page 8: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/8.jpg)
![Page 9: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/9.jpg)
CASE 2
![Page 10: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/10.jpg)
CASE 3
![Page 11: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/11.jpg)
CASE 4
![Page 12: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/12.jpg)
CASE 5
![Page 13: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/13.jpg)
CASE 6
![Page 14: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/14.jpg)
CASE 7
![Page 15: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/15.jpg)
CASE 8
![Page 16: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/16.jpg)
CASE 9
![Page 17: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/17.jpg)
![Page 18: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/18.jpg)
CASE 10
![Page 19: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/19.jpg)
CONFUSING IMAGES
YES
BUT EACH HAS A DIAGNOSIS
SO LET’S SEE HOW WE CAN DO THIS
![Page 20: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/20.jpg)
CLINICAL PICTURES
A. Bacterial pneumonia
– Toxic, septic
– Shallow breathing
B. Viral bronchitis
– Respiratory distress
– Rapid breathing
– Bad gases (bronchiolitis)
– Air trapping
– Usually not toxic
C. Mycoplasma
– Mildly sick
![Page 21: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/21.jpg)
FEVER
– High in bacterial pneumonia
– 39o, 40o C, 103-105o F
– Low or high in viral infection
– but usually low
– Usually low with mycoplasma
![Page 22: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/22.jpg)
THE CHEST RADIOGRAPH
FEATURES AND
CONCEPTS
BUILDING A TEMPLATE
![Page 23: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/23.jpg)
DESCRIPTIVE ADJECTIVES
-CLEAN VS DIRTY
-VOLUME LOSS VS NO LOSS
-PERIPHERAL VS CENTRAL
-SYMMETRIC VS ASYMMETRIC
![Page 24: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/24.jpg)
CLEAN VS DIRTY
![Page 25: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/25.jpg)
CLEAN
![Page 26: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/26.jpg)
DIRTY
![Page 27: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/27.jpg)
CLEAN
BACTERIAL PNEUMONIA
DIRTY
VIRAL BRONCHITIS
![Page 28: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/28.jpg)
VOLUME LOSS
VS
NO VOLUME LOSS
![Page 29: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/29.jpg)
VOLUME LOSS
![Page 30: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/30.jpg)
NO VOLUME LOSS
![Page 31: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/31.jpg)
VOLUME LOSS
ATELECTASIS (VIRAL)
NO VOLUME LOSS
PNEUMONIA (BACTERIAL)
![Page 32: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/32.jpg)
CAN BE A BIT OF
A PROBLEM
WITH SMALL LOBES
RML AND LINGULA
![Page 33: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/33.jpg)
![Page 34: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/34.jpg)
![Page 35: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/35.jpg)
CENTRAL SYMMETRIC
VS
PERIPHERAL ASYMMETRIC
![Page 36: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/36.jpg)
CENTRAL SYMMETRIC
![Page 37: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/37.jpg)
PERIPHERAL ASYMMETRIC
![Page 38: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/38.jpg)
CENTRAL SYMMETRIC
VIRAL BRONCHITIS
PERIPHERAL ASYMMETRIC
PNEUMONIA CONSOLIDATION
![Page 39: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/39.jpg)
BACTERIAL INFECTIONS(Pathophysiology)
– Inhale organism
– Organism deep in alveoli
– Organism trapped
– Organism multiplies
– Body reacts (polys)
– Purulent exudate
– Replaces air ( no volume loss)
– Consolidation
![Page 40: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/40.jpg)
CONSOLIDATION
– Smooth homogenous infiltrate
– Starts from the periphery (pleural based)
– Occasionally fluffy, nodular
– Occasionally round or mass-like
– No volume loss
![Page 41: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/41.jpg)
![Page 42: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/42.jpg)
![Page 43: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/43.jpg)
![Page 44: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/44.jpg)
![Page 45: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/45.jpg)
NO VOLUME LOSS
WHY ?
![Page 46: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/46.jpg)
BECAUSE
Exudate simply replaces air
![Page 47: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/47.jpg)
![Page 48: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/48.jpg)
CONSOLIDATION
Occasionally fluffy, nodular
![Page 49: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/49.jpg)
![Page 50: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/50.jpg)
CONSOLIDATION
Occasionally round or
mass like
![Page 51: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/51.jpg)
![Page 52: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/52.jpg)
![Page 53: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/53.jpg)
![Page 54: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/54.jpg)
CONSOLIDATION
Occasionally Multilobar
“Double Pneumonia”
![Page 55: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/55.jpg)
DOUBLE PNEUMONIA
![Page 56: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/56.jpg)
![Page 57: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/57.jpg)
![Page 58: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/58.jpg)
![Page 59: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/59.jpg)
BUT USUALY
NOT SYMMETRIC
AND NOT
BOTH LOWER LOBES
UNLESS
SICKLE CELL
ACUTE CHEST SYNDROME
![Page 60: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/60.jpg)
![Page 61: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/61.jpg)
![Page 62: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/62.jpg)
CONSOLIDATIONS
( PLEURAL BASED )
–Effusions common
–Empyemas common
![Page 63: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/63.jpg)
![Page 64: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/64.jpg)
![Page 65: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/65.jpg)
![Page 66: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/66.jpg)
![Page 67: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/67.jpg)
CONSOLIDATING PNEUMONIA
HIDING
LLL MOST COMMON
LOOK FOR DIFFERENT DENSITY
OF THE HEART
![Page 68: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/68.jpg)
![Page 69: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/69.jpg)
![Page 70: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/70.jpg)
![Page 71: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/71.jpg)
![Page 72: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/72.jpg)
CASE 1
![Page 73: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/73.jpg)
![Page 74: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/74.jpg)
TEMP 105
![Page 75: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/75.jpg)
ACUTE ABDOMEN AND
PNEUMONIA
THE ACUTE ABD SERIES
![Page 76: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/76.jpg)
![Page 77: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/77.jpg)
![Page 78: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/78.jpg)
VIRAL INFECTIONS
(Pathophysiology)
– Intracellular infections
– Begin in nasal passages and
hypopharynx
– Descend into trachea and
bronchi
– Tracheo-bronchitis
![Page 79: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/79.jpg)
VIRAL TRACHEO-BRONCHITIS
─ Peribronchial thickening
─ Bilateral parahilar (central) infiltrates
─ Radiate outward
─ Symmetric
─ The end result is PHPB infiltrates
─ Parahilar peribronchial
─ Hilar adenopathy
─ Overaeration (bronchospasm)
![Page 80: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/80.jpg)
VIRAL TRACHEO-BRONCHITIS
PARAHILAR PERIBRONCHIAL
INFILTRATES
PHPB
BILATERAL, CENTRAL,SYMMETRIC
AND DIRTY
![Page 81: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/81.jpg)
DIRTY
![Page 82: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/82.jpg)
![Page 83: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/83.jpg)
![Page 84: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/84.jpg)
![Page 85: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/85.jpg)
![Page 86: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/86.jpg)
![Page 87: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/87.jpg)
SPECTRUM OF PHPB
STILL
Bilateral, Central, Symmetric
![Page 88: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/88.jpg)
![Page 89: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/89.jpg)
![Page 90: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/90.jpg)
![Page 91: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/91.jpg)
CASE 2
![Page 92: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/92.jpg)
VARIATIONS
Hilar Adenopathy (bilateral)
![Page 93: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/93.jpg)
BILATERAL HILAR ADENOPATHY
![Page 94: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/94.jpg)
CLEAR
BUT OVERAERATED LUNGS
BRONCHIOLITIS
![Page 95: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/95.jpg)
![Page 96: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/96.jpg)
![Page 97: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/97.jpg)
![Page 98: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/98.jpg)
![Page 99: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/99.jpg)
NOW
ATELECTASIS
THE BIG PROBLEM
- LOBAR
- SEGMENTAL
- MUCOUS PLUGS
![Page 100: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/100.jpg)
LOBAR ATELECTASIS
─Volume loss
─Often multiple
![Page 101: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/101.jpg)
ATELECTASIS LOBAR
(VOLUME LOSS)
![Page 102: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/102.jpg)
LOBAR ATELECTASIS
VOLUME LOSS AND SHIFT
![Page 103: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/103.jpg)
ATELECTASIS OR PNEUMONIA ?
![Page 104: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/104.jpg)
NEXT DAY
![Page 105: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/105.jpg)
PARTIAL LOBAR MULTIPLE
![Page 106: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/106.jpg)
CASE 3
![Page 107: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/107.jpg)
SEGMENTAL ATELECTASIS
─Streaky, linear
─Wedge-like
─Multiple
![Page 108: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/108.jpg)
WEDGELIKE
![Page 109: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/109.jpg)
STREAKS, WEDGES, MULTIPLE,DIRTY
![Page 110: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/110.jpg)
![Page 111: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/111.jpg)
![Page 112: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/112.jpg)
SEGMENTAL ATELECTASIS
WHISKERS
![Page 113: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/113.jpg)
WHISKERS
![Page 114: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/114.jpg)
MORE WHISKERS
![Page 115: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/115.jpg)
FULL BEARD
![Page 116: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/116.jpg)
CASE 4
![Page 117: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/117.jpg)
VIRAL INTERSTITIAL INFECTION
(Pneumonitis)
– Reticulo-nodular infiltrates (bilateral)
– Hazy / opaque lungs (bilateral)
–Both lungs totally involved
–Both lower lobes involved
![Page 118: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/118.jpg)
RETICULO – NODULAR
INFILTRATES
![Page 119: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/119.jpg)
![Page 120: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/120.jpg)
![Page 121: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/121.jpg)
![Page 122: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/122.jpg)
HAZY / OPAQUE INFILTRATES
interstitial inflammatory edema
![Page 123: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/123.jpg)
BILATERAL LOWER LOBES
![Page 124: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/124.jpg)
![Page 125: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/125.jpg)
![Page 126: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/126.jpg)
CASE 5
![Page 127: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/127.jpg)
BUT CAN LEAD TO
PSEUDO CONSOLIDATION
(Viral Interstitial Inflammatory Edema)
![Page 128: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/128.jpg)
CASE 6
![Page 129: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/129.jpg)
ALSO CAN BE
TOTAL LUNG INVOLVEMENT
BUT AGAIN
BILATERAL
![Page 130: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/130.jpg)
![Page 131: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/131.jpg)
CASE 7
![Page 132: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/132.jpg)
ENTIRE SPECTRUM
Clear lungs to pseudoconsolidation
Single patient
![Page 133: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/133.jpg)
![Page 134: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/134.jpg)
![Page 135: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/135.jpg)
![Page 136: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/136.jpg)
![Page 137: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/137.jpg)
CASE 8
![Page 138: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/138.jpg)
CASE 9
![Page 139: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/139.jpg)
![Page 140: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/140.jpg)
VIRAL INFECTION WITH
SUPERIMPOSED BACTERIAL
CONSOLIDATION
TAKES ABOUT A WEEK
![Page 141: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/141.jpg)
CLINICAL PICTURE CHANGES
FROM
VIRAL TO BACTERIAL
![Page 142: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/142.jpg)
![Page 143: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/143.jpg)
![Page 144: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/144.jpg)
![Page 145: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/145.jpg)
![Page 146: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/146.jpg)
ANOTHER CASE PNEUMONIA LLL ?
![Page 147: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/147.jpg)
SORT OF WEDGELIKE
![Page 148: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/148.jpg)
NEED CLINICAL CORRELATION ?
![Page 149: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/149.jpg)
LOW FEVER AND VIRAL PICTURE
![Page 150: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/150.jpg)
AND SO ATELECTASIS WITH PHPB
![Page 151: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/151.jpg)
MYCOPLASMA INFECTION
(Pathophysiology)
Basicaly the same as viral
![Page 152: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/152.jpg)
MYCOPLASMA INFECTION
(PHPB)
BUT USUALLY NOT BILATERAL
![Page 153: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/153.jpg)
BILATERAL NOT VERY COMMON
![Page 154: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/154.jpg)
MOST OFTEN
─Lobar (often one lobe)
─Pseudoconsolidation (uncommon)
─Retriculonodular (very common)
─Hazy (very common)
![Page 155: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/155.jpg)
![Page 156: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/156.jpg)
![Page 157: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/157.jpg)
![Page 158: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/158.jpg)
![Page 159: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/159.jpg)
PLUS ATELECTASIS
![Page 160: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/160.jpg)
![Page 161: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/161.jpg)
PLUS PSEUDO CONSOLIDATION
![Page 162: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/162.jpg)
![Page 163: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/163.jpg)
CASE 10
![Page 164: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/164.jpg)
MYCOPLASMA INFECTIONS
UPPER LOBES
─Mimic TBC
─Ipsilateral hilar
adenopathy
![Page 165: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/165.jpg)
MYCOPLASMA INFECTIONS
CAN MIMICK TBC
![Page 166: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/166.jpg)
![Page 167: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/167.jpg)
![Page 168: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/168.jpg)
![Page 169: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/169.jpg)
CONCLUSION
– PATHOPHYSIOLOGY
– IMAGING
– CLINICAL CORRELATION
![Page 170: ACUTE PULMONARY INFECTIONS IN CHILDREN; IMAGING AND ...](https://reader031.fdocuments.us/reader031/viewer/2022022416/5868c3721a28ab78408bfa31/html5/thumbnails/170.jpg)
THIS PRESENTATION WILL BE
AVAILABLE ON OUR WEB SITE
FOR THIRTY DAYS
radiology.utmb.edu
(go to main page, go to pediatric
radiology)