Premature newborn with respiratory distress on a ventilator

CXR of a pneumothorax and a skin fold simulating a pneumothorax in a patient with respiratory distress syndrome
CXR AP shows a small amount of increased lucency laterally in the right lung base and increased lucency in the left lung apex and base. There is also a straight line running at an angle across the lower lateral left chest.

The diagnosis was a right basilar pneumothorax and a large left pneumothorax and a skin fold in the lower lateral left chest which were confirmed with bilateral decubitus CXRs in a patient with respiratory distress syndrome.