Case of the Week: April 19-April 26, 2012

8 year old with fever

(Click for a larger image.)

Case Details

Rounded opacity in the superior segment of the right lower lobe


Diagnosis: Round Pneumonia

Round pneumonia are usually seen in children under 8 years of age as collateral pathways of Channels of Lambert and Pores of Kohn are not well developed.

Cases are rarely reported  in older children and adults.
Etiology: Streptococcal pneumonia
Location: Most common in lower lobes and most common in superior segment of lower lobes and  no peripheral or central predisposition.
Reported size varies between 1-7 cm.
Differential Diagnosis:
Bronchogenic cyst
CPAM-congenital pulmonary airway malformation
Pulmonary sequestration
Take Home Message: Treat with antibiotics and follow up chest x-ray to exclude underlying mass

Correct answers by users

VCU Resident
Radiology Pediatrics
  • Susan Back
  • Mamta Gupta
  • Bradford Moore
  • Thuy-Anh Vu
  • Dr.ajay AgrawalIndia
  • Shymaa AhmadEgypt
  • Sirwan AkhgarIran
  • Mohammad AL -DrihiSyria
  • Watfa Al DhaheriUnited Arab Emirates
  • Mohammad Al SalamatUnited Arab Emirates
  • Jaafer Al-obaidSaudi Arabia
  • Dr. Khaled AlSherbenyEgypt
  • Bakhtiar BakhshiTurkey
  • Seeta DuttaIndia
  • Salim ElzawamLibya
  • Flavia GaspariniBrazil
  • Saad HassanSaudi Arabia
  • Kathryn JonesUnited States of America
  • Jimenez Jose LuisMexico
  • John KirkhamUnited States of America
  • Naganathan ManiUnited States of America
  • Ehab MohamedSaudi Arabia
  • Amr NazihEgypt
  • Aaron NordgrenUnited States of America
  • Robert PalmerUnited States of America
  • Shohreh RezaiAustralia
  • Sachinkumar ShelkeIndia
  • Mohamed ShoukryEgypt
  • Kalyan TatinenyUnited States of America
  • Tien TruongVietnam
  • S VelaUnited States of America
  • Trevor WatkinsAustralia
    VCU Department of Pediatric Radiology Virginia Commonwealth University VCU Medical Center