TY - JOUR T1 - RAdiological case of the month AU - Gwinn JL, Lee FA Y1 - 1969/06/01 N1 - 10.1001/archpedi.1969.02100030703015 JO - American Journal of Diseases of Children SP - 701 EP - 702 VL - 117 IS - 6 N2 - CLINICAL HISTORY.—This 6-week-old boy, previously healthy, was admitted to Childrens Hospital of Los Angeles with a history of a cough for four days and fever for one day. The cough was progressive and increasingly severe. On the day of admission, the child became anorexic, febrile, and dyspneic, and circumoral cyanosis was noted. He vomited twice following feedings and had one small, loose, green stool.Physical Examination.—The patient's temperature was 101.4 F (38.6 C); pulse rate, 140 to 160 beats per minute and irregular; and respiratory rate, 40 to 60 breaths per minute. The right tympanic membrane was obscured by clear, watery fluid, and the left was dull, gray, erythematous, and retracted. There were marked intercostal and substernal retractions, and rales were heard in the base of the right lung. The abdomen was protuberant, and a mass, thought to be the liver, was palpable 5 cm below the right costal SN - 0002-922X M3 - doi: 10.1001/archpedi.1969.02100030703015 UR - http://dx.doi.org/10.1001/archpedi.1969.02100030703015 ER -