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History: Case of the Day M.D. Meeting, B. Towbin, Kim Han, M.D. Richard William S. Ball, Jr., M.D. The patient was a 2,523 gram infant born after 35 weekâs gestation. The neonate was depressed and cyanotic and had retraction and grunting at birth. A chest radiograph (Figure I) was obtained on the second day of life, and because of increasing respiratory distress and hypoxia, the infant was intubated. She did well on antibiotic therapy, allowing extubation on the sixth day of life. Two days later, a repeat chest radiograph (Figure 2) showed an interval change. Subsequently, progressive respiratory distress required reintubation. Figure 3 is a followup chest radiograph. Figure of the upper is a sonogram abdomen and diaphragm. Figure From the Department of Radiology. Childrenâs Hospital Medical Center, and the Medicine, Cincinnati, Ohio. Address reprint requests to RadioGraphics, Suite IA, 822 Pine Street, Philadelphia, Universily PA 19107. of Cincinnati College of RadioGraphics #{149} March, #{149} Volume 8, Number Figure 2 Figure 3 Volume 8, Number #{149} March, #{149} RadioGraphics Figure 4 Findings Initially, the diaphragm, liver and intestinal structures are shifted to the left. Paradoxical tion of the right hemidiaphragm was seen real time sonography, and nonvisualization portion
Radiographics – Radiological Society of North America, Inc.
Published: Mar 1, 1988
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