Pulmonary contusion in a child

(A) This chest radiograph from a 2-year-old boy, who sustained chest trauma and surface burns from an explosion of a cache of fireworks, demonstrates a right upper lobe opacity consistent with a pulmonary contusion. The patient was endotracheally intubated emergently.
(B) Post-intubation radiography, one hour after the initial film, shows an interval increase in the size of the contusion.