小孩4歲半，近三個月一直咳嗽，斷斷續續，有時伴有低燒，臨晨時分咳嗽最為劇烈。看了幾次兒醫，前後連續使用阿莫西林和頭孢治療，一直得不到徹底治愈。這兩天咳嗽加重。剛剛收到醫生發來的最新肺片報告，辛苦大家幫忙看一下，給我一些經驗指導。我好接下來朝正確有效的方向幫孩子治療。先在這兒拜謝大家！
肺片報告如下：
AP and lateral chest radiograph from 11/22/2017 compared to September 25, 2017
CLINICAL HISTORY: cough x 1 month; had pneumonia in 9/17
FINDINGS: Increased peribronchial edema suspected which can be seen with viral or reactive airway disease. In addition, increasing opacity seen in the right medial upper lung likely atelectasis with peribronchial edema. Developing pneumonia or early
bronchiectatic changes possible. Clinical correlation.
No effusion or air leak. Cardiac silhouette is appropriate. No splenomegaly. Stool-filled splenic flexure noted.
IMPRESSION: Findings likely related to viral or reactive airway disease. Increasing opacity and possibly early bronchiectatic changes seen in the right upper medial lung as described above
