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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

http://dx.doi.org/10.1136/archdischild-2017-313980

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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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    Footnotes

    • Contributors The initial concept for this clinical question was devised by AT and he oversaw the project. AT approached PMC and BMcN to undertake the literature review and commence the process of writing the paper. MS kindly offered his expert opinion of the finished article and gave constructive criticism.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; internally peer reviewed.

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