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We appreciated the paper by McCrossan and others but we believe that the diagnosis of pneumonia in children should be made on a clinical ground and that chest X-rays should be considered only in case of a diagnostic doubt or to rule out a complication such as pleural effusion. A X-ray control after a round pneumonia in adults is prescribed with the aim of ruling out an undelying cancer but this is an extremely rare condition in children. Considering this, rather than discussing the opportunity of a radiologic follow up we should consider the opportunity of adapting international guidelines to children.
1. McCrossan P, McNaughten B, Shields M et al. Is follow up chest X-ray required in children with round pneumonia? Arch Dis Child 2017;102:1182-1183