TY - JOUR T1 - RAdiological case of the month AU - Young LW, Maravilla AM, Barnes JC, Kirks DR Y1 - 1979/08/01 N1 - 10.1001/archpedi.1979.02130080095021 JO - American Journal of Diseases of Children SP - 855 EP - 856 VL - 133 IS - 8 N2 - Clinical History.—A 9-year-old boy was admitted to the hospital because of a one-year history of chronic cough, recurrent fever, intermittent wheezing, and weight loss. The cough was exacerbated during nighttime sleep. He had been treated unsuccessfully with several courses of antibiotics. Complete evaluation by an allergist and otolaryngologist were normal.On physical examination, the patient was below the third percentile for both height and weight. He appeared chronically ill but was in no acute distress. Vital signs were normal. Rales were heard posteriorly at the lung bases, but the remainder of the physical examination was within normal limits.White blood cell count was 17,000/cu mm, with 67% polymorphonuclear leukocytes (60 segmented neutrophils and seven band forms). Hemoglobin, electrolytes, and BUN levels, and results of urinalysis, blood gas analysis, blood cultures, and tuberculin skin tests were all normal. Posteroanterior (Fig 1, top) and lateral (Fig 1, bottom) chest roentgenograms were obtained. SN - 0002-922X M3 - doi: 10.1001/archpedi.1979.02130080095021 UR - http://dx.doi.org/10.1001/archpedi.1979.02130080095021 ER -