Premature newborn who has received artificial surfactant

CXR of asymmetrical distribution of artificial surfactant in a patient with respiratory distress syndrome
CXR AP obtained just after birth (left) shows the lungs to be hypoexpanded with symmetrical ground glass opacity present throughout the lungs from their apex to their base. CXR AP taken after the administration of artificial surfactant (right) shows the right lung to now be normally expanded with clearing of the previously seen ground glass opacity while the left lung remains hypoexpanded with asymmetrical ground glass opacity present throughout it.

The diagnosis was asymmetrical distribution of artificial surfactant in a patient with respiratory distress syndrome.