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Age: 1 day (term, C-section)

Sex: Male

Indication: Respiratory distress

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Case #9


Findings

  • Mild patchy right basilar opacities
  • Small right pleural effusion
  • No pneumothorax
  • Normal size and configuration of the cardiothymic silhouette


Diagnosis

  • Neonatal pneumonia

Sample Report

Mild patchy right basilar opacities and small right pleural effusion raise concern for pneumonia versus transient tachypnea of the newborn in the setting of recent cesarean delivery. Recommend repeat chest radiograph in 24 hours to assess for resolution.


Discussion

  • Neonatal pneumonia can have many different appearances ranging from RDS-like diffuse groundglass opacification to more focal consolidative opacities (similar to meconium aspiration)
  • The presence of a pleural effusion should raise concern for pneumonia, though it can be seen with other entities including transient tachypnea of the newborn



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