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Age: 0 days (term)

Sex: Male

Indication: Respiratory distress

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Case #25


Findings

  • Diffuse patchy airspace opacities with relative sparing of the left upper lobe
  • Small right and possible trace left pleural effusions
  • Normal size and configuration of the cardiothymic silhouette


Diagnosis

  • Meconium aspiration

Sample Report

Diffuse patchy airspace opacities with relative sparing of the left upper lobe, which in addition to the presence of small right and possible trace left pleural effusions raises concern for meconium aspiration or neonatal pneumonia.

Normal size and configuration of the cardiothymic silhouette.


Discussion

  • Meconium aspiration is most often seen in term or post-term deliveries and is associated with fetal distress during labor
  • Typical radiographic findings include large lung volumes with coarse, heterogenous bilateral opacities. There can be associated pneumothorax
  • This imaging appearance can be indistinguishable from pneumonia



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