Round pulmonary lesions in children

Full text: Pediatric radiology means application of diagnostic methods in the prevention, diagnosis, treatment and follow-up of the diseases during the period of infancy and childhood. Interpretation of the child's chest radiograph is probably the most difficult plain film problem presented to the radiologists with a predominantly adult practise. Radiological findings as well as the pathological entities are often different in children then in adults and this could lead to incorrect interpretation with determination of inappropriate management and unnecessary additional investigations. The aim of the study is radiological assesment of the round pulmonary lesions in the childhood,using the classical and modern 'imaging' methods. What is round lesions? The symptom round lesions included pulmonary pathological lesions, which in radiological examination in one projection are giving one or more shadows with a round(oval) shape and a diameter greater than 1 cm. For that purpose and for appropriate statistical analysis, the total pathology is systematized into three groups: inflammations, parasite diseases and tumors of mediastinum. Conventional radiography remains the basic examination and most frequently used method in the evaluation of all thoracic abnormalities. The main task of the radiologist is to suggest further 'imaging' procedure,having into account the advantages and shortcomings of each method separately. From the general statistical analysis it is clear that most of the patients with round pulmonary lesions in the childhood are boys and having parasite etiology of the shadow. They are followed by inflammatory lesions with non-specific and specific etiology and tumors in the mediastinum.