Correct!
2. Bacterial pneumonia

Bacterial pneumonia can occasionally appear rounded and focal, a presentation commonly encountered in pediatric patients. However, as an air space filling process, bacterial pneumonias often show poorly defined margins and air bronchograms, and the latter are conspicuously lacking in this circumstance. The other listed conditions may have a very similar appearance to the patient’s presenting frontal chest radiograph see Figure 2. Finally, the patient’s presenting complaints are not suggestive of bacterial lung infection.

Which of the following represents the most appropriate next step for the patient’s management? (Click on the correct answer to be directed to fourth of 12 pages)

  1. Follow up / repeat chest radiography
  2. Comparison to prior chest radiographs
  3. Lateral decubitus chest radiography
  4. 18FDG-PET scan
  5. Unenhanced chest CT

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