The aim was to determine the effectiveness of chest radiography in the management of acute lower respiratory infections (ALRI) in children. The inclusion criteria were children aged between 6 months to 6 years with non-severe pneumonia. Findings were compared for three groups: Group 1: Patients without radiological examination; Group 2: Patients with abnormal radiological findings; Group 3: Patients without abnormal radiological findings. A total of 312 children were analyzed in the study. There were 162 children (52%) in Group 1, 28(9%) in Group 2 and 122 (39%) in Group 3. Both clinical parameters and laboratory data did not differ significantly across the groups. Chest radiograph is a very popular diagnostic tool in children with ALRI for practical approach. On the other hand it is difficult to distinguish etiology and x-ray has vary disadvantages. The clinical evaluation as per WHO criteria and close follow-up more effective and less harmful strategies in the management of non-severe ALRI in children especially in developing countries.
