Presentation
Maternal diabetes. Cord prolapse at delivery.
Patient Data
Artefact from babywarmer. ET tube, NG tube and UAC in situ.
Extensive patchy alveolar opacities extend through both lungs. No effusion or pneumothorax. Normal cardiac contour.
ETT just below the interclavicular line.
NG tube tip in the distal esophagus - it should be advanced further.
UAC line tip at T9.
As demonstrated on the previous study, there are bilateral coarse alveolar opacities, but no focal collapse or pneumothorax.
Partial clearing of the bilateral pulmonary opacities.
Persistent bilateral change, but slightly increased left perihilar pulmonary opacities.
Increase in the bilateral pulmonary opacities, particular at the apices.
Increasing confluence of the bilateral pulmonary infiltrates, particularly around the hila and the apices.
Case Discussion
This is a case of meconium aspiration. Initial imaging is fairly characteristic with patchy pulmonary infiltrates and a history of a difficult delivery.
Over the series of radiographs, there is initial clearing of pulmonary infiltrates, but there is then bilateral perihilar and apical consolidation.
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