Bronchiolitis chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alonso Alvarado, M.D. [2]

Overview

  • Abnormalities in the chest X-ray are usually inspecific and are not useful for the diagnosis of bronchiolitis.[1]
  • Chest X-ray has been proved inefficient for differentiating bronchiolitis from other lower respiratory tract infections.[2]
  • The presence of atelectasis and consolidations have been studied for the assessment of severity, however, there is no evidence of a clear correlation.[1]
  • Chest X-ray may be used in hospitalized patients in when no clinical improvement is observed to rule out other suspected diagnosis such as pneumonia.[1]
  • The routine use of chest X-ray should be avoided as there is no evidence supporting its benefit in the diagnosis of bronchiolitis and have been associated with higher rates of unnecessary antibiotic use.[2]

Chest X Ray

Shown below is a radiograph of a patient with respiratory syncytial virus infection.

References

  1. 1.0 1.1 1.2 American Academy of Pediatrics Subcommittee on Diagnosis and Management of Bronchiolitis (2006). "Diagnosis and management of bronchiolitis". Pediatrics. 118 (4): 1774–93. doi:10.1542/peds.2006-2223. PMID 17015575.
  2. 2.0 2.1 Bordley WC, Viswanathan M, King VJ, Sutton SF, Jackman AM, Sterling L; et al. (2004). "Diagnosis and testing in bronchiolitis: a systematic review". Arch Pediatr Adolesc Med. 158 (2): 119–26. doi:10.1001/archpedi.158.2.119. PMID 14757603.

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