Quiz 2: Boy with respiratory distress

This is an image of an 8 year old boy who had presented with history of cough, fever and rapid breathing for 4 days. His physical appearance is shown above. He has past history of multiple hospitalizations for respiratory symptoms. X-Ray examination of the chest showed presence of a pneumatocele in the left upper lobe.

Questions:

1) Describe the clinical finding(s).
2) What is the diagnosis?

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PedsQuiz 2008

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