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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?
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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