A 10-year-old girl was brought to the pediatric emergency department after a falling 120 × 240-cm sheet rock pinned her chest against a wall. She complained of chest pain and coughed up a teaspoonful of bright-red sputum. Her respiratory rate was 22/min. She had no fever or cyanosis. The physical examination was remarkable only for mild ecchymosis and costochondral tenderness over the right infraclavicular region and decreased breath sounds over the anterior right upper portion of the chest. Her history and family history were normal. Her growth and development were normal. She has always resided in New York City, with the exception of a 1-month visit to Ecuador 6 years earlier. There was no known exposure to tuberculosis or other infection.
A chest roentgenogram was obtained in the emergency department (Fig 1) and a computed tomographic examination was performed the following day (Fig 2). Results of a complete blood cell
Co MAL, Rosner IK, Berkmen YM, Rappaport I, Wood BP. Radiological Case of the Month. Am J Dis Child. 1989;143(7):841–842. doi:10.1001/archpedi.1989.02150190091028