23 doctors weighed in:
Why do docs order a chest xray for my child when lung sounds do not support a pneumonia diagnosis?
23 doctors weighed in

Dr. John Leander Po
Internal Medicine - Infectious Disease
10 doctors agree
In brief: Other reasons
Depending on the history of present illness (i.
e. The details of your chief complaint), you doctor might be looking for something beyond just a simple pneumonia; lung sounds can't detect things such as a lung cavity, small lesion, or organ anomaly. Since the sensitivity of specific lung sounds are poor (e.g. Crackles, rales, ronchi, egophony), the x-ray us used as a tool for better diagnoses.

In brief: Other reasons
Depending on the history of present illness (i.
e. The details of your chief complaint), you doctor might be looking for something beyond just a simple pneumonia; lung sounds can't detect things such as a lung cavity, small lesion, or organ anomaly. Since the sensitivity of specific lung sounds are poor (e.g. Crackles, rales, ronchi, egophony), the x-ray us used as a tool for better diagnoses.
Dr. John Leander Po
Dr. John Leander Po
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Dr. Pavel Conovalciuc
Family Medicine
8 doctors agree
In brief: Depends
Sometimes auscultation (listening to patient's lungs) may be misleading especially if the location of pneumonia is deep and the focus is small.
The other consideration might be that they want to rule out other possible chest disorders that your child is having. Unfortunately, children may not relay their history as well as adults, so you may want to admit some extra testing to be on a safe side.

In brief: Depends
Sometimes auscultation (listening to patient's lungs) may be misleading especially if the location of pneumonia is deep and the focus is small.
The other consideration might be that they want to rule out other possible chest disorders that your child is having. Unfortunately, children may not relay their history as well as adults, so you may want to admit some extra testing to be on a safe side.
Dr. Pavel Conovalciuc
Dr. Pavel Conovalciuc
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1 comment
Dr. Michael DePietro
The physical exam is not very sensitive or very specific in diagnosis of many diseases, the abnormal lung sounds heard in pneumonia can be heard in other diseases and conversely the sounds may not be heard even if there is pneumonia, so often if the patients symptoms sound like pneumonia a chest xray will ne needed regardless and the whole picture (history, exam and tests) used to make a diagnosis
Dr. Francine Yep
Family Medicine
4 doctors agree
In brief: Not 100%
Good question. It's hard when our kids are sick and we're asked to do testing.
Normal lung sounds aren't 100% proof there's no pneumonia. [one small study showed that relying on only lung sounds missed up 1/3 to 1/2 of pneumonias.] i hope your child's feeling better soon.

In brief: Not 100%
Good question. It's hard when our kids are sick and we're asked to do testing.
Normal lung sounds aren't 100% proof there's no pneumonia. [one small study showed that relying on only lung sounds missed up 1/3 to 1/2 of pneumonias.] i hope your child's feeling better soon.
Dr. Francine Yep
Dr. Francine Yep
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Dr. DAVID AMOS
Family Medicine
2 doctors agree
In brief: Lung sound
Lung sound cannot cofirm DX of pneumonia, ches xray can confirm that.

In brief: Lung sound
Lung sound cannot cofirm DX of pneumonia, ches xray can confirm that.
Dr. DAVID AMOS
Dr. DAVID AMOS
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