Imaging of Chest Infections in Children

  • Garry Choy
  • Phoebe H. Yager
  • Natan Noviski
  • Sjirk J. Westra

Key Points

■ Imaging studies have limited value in the differentiation between viral and bacterial lower respiratory tract infections (moderate evidence).

■ CT provides more information than plain radiographs for complicated pulmonary infections with empyema, pleural effusion, or bronchopleural fistula (moderate evidence).

■ In immunocompromised patients, CT has been shown to characterize the type of infection better than plain radiographs (moderate evidence).

■ Ultrasound has an advantage over CT in the identification and characterization of complicated effusions (moderate evidence).

■ Early detection and therefore intervention for pleural complications of pneumonia are critical and can result in better outcomes (moderate evidence).

■ Early surgery (VATS) is more cost-effective than thoracotomy (without or with image guidance) in the treatment of empyemas in children (strong evidence).


Europe Lactate Leukemia Pneumonia Influenza 


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Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Garry Choy
    • 1
  • Phoebe H. Yager
    • 2
  • Natan Noviski
    • 3
  • Sjirk J. Westra
    • 1
  1. 1.Department of RadiologyMassachusetts General HospitalBostonUSA
  2. 2.Harvard Medical School, Department of Pediatric Critical Care MedicineMassachusetts General HospitalBostonUSA
  3. 3.Harvard Medical School, Department of Pediatric Critical Care MedicinePediatric Critical Care Medicine, Massachusetts General HospitalBostonUSA

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