Respiratory distress syndrome

Case contributed by Jeremy Jones
Diagnosis probable

Patient Data

Age: Neonate
x-ray

Ventilated neonate with RDS and confluent change in the right upper zone.  In addition, there is moderate-volume pneumoperitoneum.

Case Discussion

Don't forget to look for the abnormalities on the edge of the film. There is background RDS in this 24/40 neonate with confluent change in the right upper lobe (this can happen when the surfactant is preferentially instilled into the lower lobe).

However, there is also a moderate-volume pneumoperitoneum.

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