Pediatric pneumonia remains a significant health concern, contributing to high morbidity and mortality rates in children, especially those under five years of age. This study aims to evaluate and compare the diagnostic precision of digital radiography (Xray) and ultrasound in diagnosing pediatric pneumonia among children aged 0-12 years at ShriVasantraoNaik Government Medical College, Yavatmal, from January 2022 to June 2024. A prospective observational study included 50 pediatric patients clinically suspected of pneumonia. Both diagnostic modalities were performed, and their sensitivity, specificity, positive predictive value (PPV), and negative predictive value (NPV) were calculated. Ultrasound exhibited higher sensitivity (90%) and specificity (95%) compared to digital radiography, which had a sensitivity of 80% and specificity of 90%. The results underscore ultrasound's advantage due to its radiation-free nature, making it particularly suitable for the pediatric population. Strong interobserver agreement was noted for both modalities. The findings indicate that a combination of clinical evaluation and appropriate imaging can enhance the management and timely diagnosis of pneumonia in children.