A boy with recurrent pneumonia

Abstract

12 months later, the boy was readmitted to the hospital for gradually increasing productive cough for 9 days and fever (up to 39.5uC) for 3 days.He was in good condition. His blood temperature was 38uC, respiratory rate was 24 breaths?min -1 , heart rate was 120 beats?min -1 and O 2 saturation was 91%. On chest auscultation he had decreased breath sounds over the right lower hemithorax. Cardiac examination was normal, throat examination showed small exudates on tonsils and review of remaining systems was normal.Chest radiograph (CXR) is shown in figure 1.