The combined chest & abdominal x-ray in this paediatric patient shows a right middle lobe consolidation silhouetting the right heart border. The patient on assessment had fever & tachypnoea.

The child was treated with antibiotics for pneumonia and got better.

Keep in mind atypical presentation of pneumonia in paediatric population.

Referencehttps://www.jucm.com/pediatric-abdominal-pain-consider-pneumonia-differential-diagnosis

Wishing everyone a Merry Christmas & Happy New Year!