Resolving cavitary pnemonia presenting as late-onset congenital diaphragmatic hernia

Abstract

An unusual case of resolving left lower lobe pneumonia associated with pleural effusion is reported. The plain radiographs and chest CT were initially misinterpreted as showing a late-presenting congenital diaphragmatic hernia (CDH). This case illustrates that misleading radiologic assessments may occur in children with resolving pneumonia and that upper or lower gastrointestinal contrast studies should be a part of the diagnostic work-up of any case of suspected late-presenting CDH.