Virtual Pediatric Hospital: Thoracopaedia: An Imaging Encyclopedia
of Pediatric Thoracic Disease: Case 54Thoracopaedia: An Imaging Encyclopedia of Pediatric Thoracic
Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed
Fifteen year old male with ALL and a fever
The patient was a 15 year old male with ALL, who had failed
chemotherapy induction 3 times, who developed a fever. He was started
on Gentamicin and Methicillin. Chest films at this time were
negative. Eight days after the onset of fever a chest film became
Clinical Physical Exam:
The WBC count was 230/cubic millimeter.
Clinical Differential Diagnosis:
Chest film taken 8 days after the fever began demonstrated a new
right middle lobe opacity. A chest CT exam from 13 days after the
fever began showed bilateral lung lesions.
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