Purchase the medical student plan for full access to this course.

View Pricing   Log In
Expand ("E")   Collapse

Age: 0 days (term)

Sex: Female

Indication: Respiratory distress

Save ("V")

Case #2


Findings

  • Diffuse groundglass opacities throughout both lungs with symmetric bilateral hyperinflation
  • Likely small bilateral pleural effusions


Diagnosis

  • Transient tachypnea of the newborn (TTN)

Sample Report

Diffuse groundglass opacities throughout both lungs with symmetric bilateral hyperinflation suggestive of transient tachypnea of the newborn. Meconium aspiration is an alternate consideration, though this is considered less likely.

Likely small bilateral pleural effusions.

No acute findings in the abdomen.


Discussion

  • When evaluating chest radiographs in newborns with respiratory distress, try following the decision tree in the annotated image below
  • Transient Tachypnea of the Newborn (TTN) is more common in infants of diabetic mothers and after C-section and usually rapidly clears in the first day or two of life (unlike pneumonia)
  • The radiographic appearance is similar to congestive heart failure (minus the enlarged heart) with diffuse interstitial and alveolar opacities, pleural effusions, and thickening of the fissures (due to fluid tracking along the fissures)


Images

Algorithmic approach to chest radiographs in neonates with respiratory distress.

📣 Feedback?

⌨️  Keyboard Shortcuts ("K")

⌨️ Keyboard Shortcuts

View shortcuts

Zoom/Pan

  Full screen

  Window/Level

  Expand/collapse

  Scroll

  Save the case

  Close case/tab

Previous Slice (Scroll)

Next Slice (Scroll)

 Toggle presets

 Previous series (if multiple)

 Next series (if multiple)

  Previous case (⌘ ◄ on a mac)

  Next case (⌘ ► on a mac)

Toggle dark mode