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Radiological Cases of the Month

Radiological Cases of the Month Abstract A 2½-year-old white male born at term was healthy until 3 weeks of age when his mother reported that his airway seemed congested. He had numerous episodes of pneumonia diagnosed by physical examination and requiring hospitalization at 5 weeks, 7 weeks, 9 weeks, and 4 months of age. During these episodes the patient was afebrile with peaceful tachypnea, upper airway congestion, and intercostal retractions observed. No rales, rhonchi, or wheezes were reported on auscultation of the chest. The patient seemed to improve with antibiotic therapy but continued to have notable upper airway "wheezing" and "heavy breathing." Chest roentgenograms during these hospitalizations reportedly confirmed pneumonia and showed an enlarged thymus. Sweat test and upper gastrointestinal series results were negative. During the second year the patient had 11 episodes of pulmonary infection treated variously with amoxicillin and theophylline. A chest roentgenogram (Fig 1) was obtained on referral to the pulmonary clinic. The References 1. Strug LH, Leon W, Carter R. Primary mediastinal tumors . Am Surg . 1968;34:5-14. 2. Haller JA, Mazur DO, Morgan WW. Diagnosis and management of mediastinal masses in children . J Thorac Cardiovasc Surg . 1969;58:385-393. 3. Hope JW, Borns PF, Koop CE. Radiological diagnosis of mediastinal masses in infants and children . Radiol Clin North Am . 1963;1:17-50. 4. Porkorny WJ, Sherman JO. Mediastinal masses in infants and children . J Thorac Cardiovasc Surg . 1974;68:869-875. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Diseases of Children American Medical Association

Radiological Cases of the Month

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1990 American Medical Association. All Rights Reserved.
ISSN
0002-922X
DOI
10.1001/archpedi.1990.02150340095032
Publisher site
See Article on Publisher Site

Abstract

Abstract A 2½-year-old white male born at term was healthy until 3 weeks of age when his mother reported that his airway seemed congested. He had numerous episodes of pneumonia diagnosed by physical examination and requiring hospitalization at 5 weeks, 7 weeks, 9 weeks, and 4 months of age. During these episodes the patient was afebrile with peaceful tachypnea, upper airway congestion, and intercostal retractions observed. No rales, rhonchi, or wheezes were reported on auscultation of the chest. The patient seemed to improve with antibiotic therapy but continued to have notable upper airway "wheezing" and "heavy breathing." Chest roentgenograms during these hospitalizations reportedly confirmed pneumonia and showed an enlarged thymus. Sweat test and upper gastrointestinal series results were negative. During the second year the patient had 11 episodes of pulmonary infection treated variously with amoxicillin and theophylline. A chest roentgenogram (Fig 1) was obtained on referral to the pulmonary clinic. The References 1. Strug LH, Leon W, Carter R. Primary mediastinal tumors . Am Surg . 1968;34:5-14. 2. Haller JA, Mazur DO, Morgan WW. Diagnosis and management of mediastinal masses in children . J Thorac Cardiovasc Surg . 1969;58:385-393. 3. Hope JW, Borns PF, Koop CE. Radiological diagnosis of mediastinal masses in infants and children . Radiol Clin North Am . 1963;1:17-50. 4. Porkorny WJ, Sherman JO. Mediastinal masses in infants and children . J Thorac Cardiovasc Surg . 1974;68:869-875.

Journal

American Journal of Diseases of Children – American Medical Association

Published: Oct 1, 1990

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