We're unable to sign you in at this time. Please try again in a few minutes.
We were able to sign you in, but your subscription(s) could not be found. Please try again in a few minutes.
There may be a problem with your account. Please contact the AMA Service Center to resolve this issue.
Contact the AMA Service Center:
Telephone: 1 (800) 262-2350 or 1 (312) 670-7827  *   Email: subscriptions@jamanetwork.com
Error Message ......
Article |

Radiological Case of the Month

Douglas Brown, MD; H. Lynn Magill, MD; Phillip George, MD; Lionel W. Young, MD
Am J Dis Child. 1986;140(11):1171-1173. doi:10.1001/archpedi.1986.02140250097042.
Text Size: A A A
Published online


A 13-month-old male infant was admitted to LeBonheur Children's Medical Center, Memphis, with cough, wheezing, and cyanosis. Before admission he had been treated for three days for pneumonia, but he was referred to LeBonheur Children's Medical Center after chest roentgenograms (Fig 1, left and right) obtained elsewhere showed an apparent mass. The infant had been born by cesarean section because of abruptio placenta at 33 weeks' gestation. He required ventilatory assistance for ten days after birth and remained hospitalized until 7 weeks of age. He was well until he developed respiratory distress at 4 months of age. He subsequently had multiple hospital admissions for intermittent episodes of respiratory distress with wheezing, which were diagnosed as either bronchiolitis or pneumonia.

On physical examination he was an alert, active infant in no distress. Respirations were 48/min without retractions. Diffuse, coarse inspiratory and expiratory rhonchi and occasional expiratory wheezes were heard bilaterally. Auscultatory


Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

First Page Preview

View Large
First page PDF preview





Also Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
Please click the checkbox indicating that you have read the full article in order to submit your answers.
Your answers have been saved for later.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.


Some tools below are only available to our subscribers or users with an online account.

0 Citations

Sign in

Purchase Options

• Buy this article
• Subscribe to the journal
• Rent this article ?

Related Content

Customize your page view by dragging & repositioning the boxes below.