Gender:maleAge:22monthsold
Clinicalhistorypresentation:
22-month-oldpresentingwithhigh-gradefever,withmaximumtemperatureofdegreesF.Previouschestradiographobtainedfewmonthsago(notshown)wasnormal.
22-month-oldwithfever.Whatisthediagnosis?
A
Neuroblastoma
B
CongenitalPulmonaryAirwayMalformation
C
Roundpneumonia
D
BronchogenicCyst
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Clinicalinformation
Ageandgender:22montholdoldmale
Clinicalhistorypresentation:
22-month-oldpresentingwithhigh-gradefever,withmaximumtemperatureofdegreesF.Previouschestradiographobtainedfewmonthsago(notshown)wasnormal.
Physicalexam:
Onphysicalexamtherearedecreasedbreathsoundsinrightupperlung.Nonasalflaring,grunting,wheezeorcrackleswerepresent.（无鼻炎、打鼾、喘鸣或湿啰音表现。）
Otherdiagnostictesting:
Whitebloodcellcount-37.1thou/mcL(normal5.0-15.0thou/mcL)
C-ReactiveProtein-.00mg/L(normal=9.00mg/L)
Diagnosis
Keywords:ConsolidationRoundpneumoniaRoundopacity
Finaldiagnosis:
Roundpneumonia（球形肺炎）:
Chestradiographshowsaroundedcircumscribedopacity（局限性圆形不透亮影）intherightupperlobe.Inayoungchildwithhistoryoffever,elevatedwhitebloodcountandelevatedC-reactiveprotein,thisissuggestiveofroundpneumonia.
Differential（鉴别）diagnoses：
Neuroblastoma（神经母细胞瘤）:
Neuroblastomaisthemost
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