BOY 5 YO 3 DAYS AGO FEVER AND COUGH.
PEDIATRIC DOCTOR REQUESTED BOOD TESTS FOR RULE OUT DENGUE FEVER AND CHEST XRAY.
RESULT RETURNED QUICKLY (SEE BLOOD TESTS AND CHEST XRAY).
DISCUSSION:
FEVER AND RISING OF WBC WITH MORE NEUTRO CELLS ARE ACUTE
INFECTION, WE CAN RULE OUT DENGUE FEVER.
INFECTION, WE CAN RULE OUT DENGUE FEVER.
BUT THE CHEST X-RAY WAS ABNORMAL, ONE RADIOLOGIST SUGGESTED LUNG TUMOR. AND HE REQUESTED THORAX CT SCAN.
ULTRASOUND OF THE CHEST BY TRANSTHORACIC DETECTED THIS MASS AT THE LEFT LUNG WHICH WAS SOLID ECHOTRUCTURE LIKE HEPATIC TISSUE.
IT HAD AIR IN THE MASS AND VESSELS WERE NOT BENDING ( SEE ULTRASOUND IMAGES WITH CDI AND VIDEO)
IT HAD AIR IN THE MASS AND VESSELS WERE NOT BENDING ( SEE ULTRASOUND IMAGES WITH CDI AND VIDEO)
Sonologist suggested consolidation pneumonia.
For make sure diagnosis we performed low dose CT Scan without CE (see CT pictures).
For make sure diagnosis we performed low dose CT Scan without CE (see CT pictures).
Radiologist reported that a lobular pneumonia in consolidation phase of the left lung.
Antiobiotic treatment is in urgency.