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Is follow up chest X-ray required in children with round pneumonia?
  1. Patrick McCrossan1,
  2. Benjamin McNaughten1,
  3. Michael Shields2,
  4. Andrew Thompson1
  1. 1Paediatrics, Royal Belfast Hospital for Sick Children, Belfast, Northern Ireland, UK
  2. 2School of medicine, dentistry and biomedical sciences, Queen’s University Belfast, Royal Belfast Hospital for Sick Children, Belfast, UK
  1. Correspondence to Dr Patrick McCrossan, Department of Paediatrics, Royal Belfast Hospital for Sick Children, Belfast, BT12 6BA, UK; mccrossp{at}tcd.ie

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Scenario

An 8-year-old boy was admitted with a 5-day history of cough, shortness of breath and fever. A round opacification on his chest X-ray was reported as a round pneumonia by a consultant radiologist. He was treated with oxygen and intravenous antibiotics. He is clinically improved and medically fit for discharge. You have been asked to arrange a follow-up chest X-ray and wonder as to the value of this additional exposure to radiation.

Structured clinical question

Is follow-up X-ray required in a child with clinical and radiological findings in keeping with round pneumonia?

Search

We performed an online search using PubMed and Medline (1946–present) in July 2017. The key terms used were ‘round pneumonia’ or ‘round opacification’. We limited the search to include articles written in English and those relating to children. Our searches of these databases yielded 67 and 39 results, respectively. On review of titles and abstracts, we identified five relevant articles. …

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