Pediatric Radiology. Megan Shuler February 2, 2006. Case 1. 18 month old male presents with 12 hour history of increasingly labored respirations, fever, and barking cough Exam significant for temp 101 F, inspiratory stridor, and suprasternal retractions. Croup.
February 2, 2006
AP view of neck showing narrowing of laryngeal air column 5-10 mm below vocal cords
Steeple sign seen on x-ray in 50-60% of cases
Lateral neck radiograph of a child. Notice the hypopharyngeal dilatation, the swollen epiglottis, and the lack of definable aryepiglottic folds.