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Age: 1 day (term)

Sex: Female

Indication: Tachypnea

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Case #38


Findings

  • Large lung volumes with coarse opacities throughout both lungs
  • No pleural effusion or pneumothorax
  • Normal size and configuration of the cardiothymic silhouette


Diagnosis

  • Meconium aspiration

Sample Report

Large lung volumes with coarse opacities throughout both lungs, which can be seen with meconium aspiration or neonatal pneumonia.

No pleural effusion or pneumothorax.

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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