Hi,I am Dr. Santosh Kondekar (Pediatrician). I will be looking into your question and guiding you through the process. Please write your question below.
What Could Cause Left Sided Chest Swelling In A 21 Months Old Child?
My 21 months old daughter had a swelling on the left side of chest which is painless.pediatrician ordered an X-ray and the report is normal.i am told that it is a excess cartilage growth on her chest and I need to keep observing it and there is nothing they can do with it.but I want them to do a scan to check it completely as I was told that x rays sometimes miss some chest related problems.please let me know what I should do and also is this kind of problem common in kids?
Thanks for your question. If your child has asymmetry of her chest wall and this is the cause of the swelling then your paediatrician is right in that this is not associated with any problems within the chest. It is unusual however for this type of problem to present at this age. It is usually something that becomes more obvious in the older child.
I would want to make sure on physcial examination that your daughter does not have any curvature in her spine and that this swelling was definitely the chest wall and not something else.
Imaging can be done if there is uncertainty in the form of an ultrasound, CT and or MRI scan. I would usually start with ultrasound as this can be done at this age awake but the CT and MRI scan requires anaesthesia.
If this truely is a chest wall deformity then some success has been achieved with bracing although this may not start until your child is older.
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What Could Cause Left Sided Chest Swelling In A 21 Months Old Child?
Hi, Thanks for your question. If your child has asymmetry of her chest wall and this is the cause of the swelling then your paediatrician is right in that this is not associated with any problems within the chest. It is unusual however for this type of problem to present at this age. It is usually something that becomes more obvious in the older child. I would want to make sure on physcial examination that your daughter does not have any curvature in her spine and that this swelling was definitely the chest wall and not something else. Imaging can be done if there is uncertainty in the form of an ultrasound, CT and or MRI scan. I would usually start with ultrasound as this can be done at this age awake but the CT and MRI scan requires anaesthesia. If this truely is a chest wall deformity then some success has been achieved with bracing although this may not start until your child is older. I hope this answers your question. Best wishes