Tefera, Muluwork (Associate Professor)Anteneh, Yalemwork2018-06-132023-11-052018-06-132023-11-052013-11http://etd.aau.edu.et/handle/123456789/598Background: Respiratory diseases are a major cause of mortality and morbidity worldwide especially in most developing countries . Amongst these respiratory diseases, pneumonia is the leading cause of death in children worldwide . In developing countries childhood pneumonias are diagnosed using clinical parameters, usually based on presence of cough and raised respiratory rate. The simple chest radiograph has been an important investigative tool in the diagnoses of respiratory infection and pneumonia. Objective: is to know the prevalence of of chest x ray finding of patients with severe pneumonia Methods: A prospective cross sectional study of 162 patients with severe pneumonia who were admitted at causality and emergency ward of paediatric and child health in TASH . All children had chest radiography on the bases of clinical decision by paediatricians. Expected Outcomes ; the prevalence of chest x ray finding of patients with severe pneumonia was( 48%) ,and the commonest site was on the right side74(78.7%) of this RUL is commonly affected and commonest type of chest x-ray finding was consolidation( 27%).chest x-ray has strong association with late presentation and underlying medical illness . Analysis: descriptive and analytic statistics as applicable. Statistically significant associations is when P-value of <0.05. Key words: pneumonia ,chest x ray, TAH-causality and emergency ward,enPneumonia ;Chest x ray;TAH-causality and emergency wardThesis