Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia
of Pediatric Thoracic Disease: Case 56Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Fourteen year old male with a chronic lung disease
The patient is a 14 year old African-American male who presented at
the age of 3 months with dyspnea, cough, tachypnea and failure to
thrive. He had an open lung biopsy at 8 months. Since then, he has
had repeated respiratory exacerbations. He was on steroids and
prophylactic antibiotics and receives oxygen at night.
Clinical Physical Exam:
The patient was thin and almost emaciated. He became short of breath
when speaking. Auscultation revealed respiratory crackles. He has 3+
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