患者男,6岁。无明显诱因出现间断性右胸背部疼痛不适,疼痛时予以捶打后可缓解,未引起重视。3月后出现咳嗽伴发热,体温波动在37.0℃~39.3℃之间。给予抗菌消炎治疗效果不佳,2月后来我院诊治。查体:右颈部一淋巴结增大,右侧呼吸动度较左侧减弱;右侧语颤较左侧增强;右侧第三肋以上 Patient male, 6 years old. There is no obvious incentive intermittent right chest back pain discomfort, pain can be relieved after beating, did not attract attention. After 3 months cough with fever, body temperature fluctuations between 37.0 ℃ ~ 39.3 ℃. Give antibacterial anti-inflammatory treatment ineffective, our hospital came to treatment in February. Physical examination: a right neck lymph nodes increased, the right side of the respiratory motion weakened than the left; right tremor stronger than the left; right above the third rib