ABSTRACT
A 3-year-old female presents to the emergency department with 1 week of fever, cough, and progressive increased work of breathing. She was started on antibiotics by her physician 4 days ago without improvement. Her vital signs were T39°, RR 50, Sat 88% on RA. On examination she was ill-appearing with dry mucous membranes. Her respiratory exam revealed grunting, nasal flaring, and suprasternal/intercostal/subcostal retractions. On auscultation she had crackles in the left lung field and distant breath sounds with dullness to percussion on the right. Her chest radiographs are shown. A chest CT was done after visualization of the chest radiographs.
