Child 7 years old with skin rash on the trunk (the entire thorax) on the type of hives, dyspnea, pain in the abdomen.
Urgent out-hospital diagnosis of appendicitis, in the hospital was made an thorax X-ray and sent immediately to the abdomen US, with the words that patient will be hospitalized in intensive care since at X-ray image only one lung is working.
At US no data for appendicitis is found, in the right side of the chest visualized lung consolidation with air bronchogram and about 350-400 ml of free fluid.
At control US in the right portion of the airless lung in the same place, above it there is an immobile reverb effect (hypoventilation? pneumothorax?).