This clinical trial evaluates the diagnostic accuracy, clinical utility, and follow-up efficacy of chest X-ray (CXR) versus computed tomography (CT) in pediatric pneumonia. The study enrolled 200 children presenting with clinical symptoms of pneumonia. Imaging outcomes were analyzed to compare sensitivity, specificity, radiation exposure, and impact on management. The findings underscore the role of CXR as the primary diagnostic tool while highlighting the adjunctive utility of CT in complex cases.