<prompt> The following is an X-ray of a 13year old child presenting with difficulty in breathing and gradually developing respiratory compromise. What is the diagnosis?KyphoscoliosisLordosisScheurmanns diseaseKochs spine  <response>: Kyphoscoliosis May be developmental or congenital. In severe forms especially congenital thorasic insufficiency May be seen due to pulmonary hypoplasia. In such a scenario the patient may require a per emptive thoracoplasty to allow development of lungs and avoid hypoplasia. Ref:Campbells 13the p.1901 