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November 2006
By Theodore E. Keats, MD
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PROBLEM
This 10-year-old girl has abdominal pain. What is
your interpretation of this scout view of her
abdomen?
CLICK HERE FOR ANSWER
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ANSWER
The correct diagnosis is pneumonitis of the right
lower lobe, which is manifested by patchy densities
seen at the right lung base and through the diaphragmatic
shadow. It is well recognized that in children, pneumonitis
may manifest as abdominal pain, particularly if it
involves lung bases.
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This series of diagnostic quizzes that challenge your ability to read a variety of x-ray films is edited by Dr. Keats, alumni professor of radiology at the University of Virginia School of Medicine in Charlottesville.
Emerg Med 38(11):65-6, 2006
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