Toddler with Fever and Grunting.

Brief History of the Present Illness A 2-year-old African American male presented with a 3-day history of low-grade fever, nasal congestion, and decreased appetite. One day prior to admission, he developed tachypnea and grunting with a temperature of 102°F. He presented to an outside hospital, where a chest radiograph was obtained. He was diagnosed with acute suppurative otitis media and was discharged home with a prescription for amoxicillin. The next day, he was called back to the hospital due to abnormal findings identified on the chest radiograph by the radiologist.