OBJECTIVE: The role of lung ultrasound (LUS) integrated with chest X-ray (CXR) for the first-line diagnosis of @entity55 ; to define its role during the follow-up to exclude complications. METHODS: We performed a retrospective review of a cohort including 84 consecutive @entity1 (age range: 3-16 years; mean age: 6 years; 44 males, 40 females) with clinical signs of cough and fever. All the @entity1 underwent CXR at admission integrated with LUS. Those positive at LUS were followed up with LUS until the complete resolution of the disease. RESULTS: CXR showed 47/84 pneumonic findings. LUS showed 60/84 pneumonic findings; 34/60 pneumonic findings had a typical pattern of lung consolidation; 26/60 pneumonic findings showed association of multiple B-lines, findings consistent with interstitial involvement, and small and hidden consolidations not achievable by CXR. One case was negative at LUS because of retroscapular location. 60 @entity1 were followed up with LUS; 28/60 @entity1 showed a complete regression of the disease; 23/60 @entity1 had a significant decrease in size of consolidation; 9/60 @entity1 showed disease stability or insignificant decrease in size, thus requiring adjunctive LUS examinations. CONCLUSION: LUS, integrated with CXR, revealed to be an accurate first-line technique to identify small pneumonic consolidations, especially for "CXR-occult" findings, and for early diagnosis of @entity1143 ; furthermore, LUS follow-up allows complications to be verified and additional radiation exposures to be avoided. Advances in knowledge: The effective role of LUS in the diagnosis and follow-up of lung consolidations and @entity1143 in paediatric @entity1 in an emergency setting.

First-line diagnosis of XXXX in emergency: lung ultrasound (LUS) in addition to chest-X-ray (CXR) and its role in follow-up.

@entity1 :: ('9606', 'Species') :: ['children', 'patients'] @entity1143 :: ('MESH:D010996', 'Disease') :: ['pleural effusion', 'pleural effusions'] @entity55 :: ('MESH:D011014', 'Disease') :: ['paediatric pneumonia']
@entity55 :: (MESH:D011014,Disease) :: ['paediatric pneumonia']
