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ABSTRACT We herein report a rare case of a pneumonia with hydropneumothorax in an underfive-years girl. This may caused by an infected bulla. This Patient presented with cough, fever and fast breathing. Radiographic features showed a bronchopneumonia with pleural effusion and on the CT was described as bulla. Cough and fever were improved with intravenous antibiotic but her breathing was remain fast. Surgical management was undertaken and also to makesure the cause.