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Brill et al., in a recent report, suggested that chest radiography is not indicated as a screening procedure in healthy children. Their conclusion seems justified, since the study included 1,000 healthy children. Most important, however, was the qualification that these children had no abnormality on physical examination, presumably performed by experienced physicians.
We have recently been involved with two cases in which unsuspected conditions were unmasked by "routine" chest x-rays done before the physical examination.