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An 11-year-old girl presented with abdominal pain and lethargy. Chest X-ray revealed a well-defined opacity in the right lower zone, projected over the medial aspect of the right hemidiaphragm (figure 1). She was treated with two courses of antibiotics but remained symptomatic with a cough. Repeat X-rays demonstrated no change in the opacity.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent Parental/guardian consent obtained.
Provenance and peer review Not commissioned; externally peer reviewed.
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