Premature newborn with respiratory distress on a ventilator

CXR of bilateral tension pneumothoraces in a patient with respiratory distress syndrome
CXR AP shows a large amount of lucency in the lung bases bilaterally while the cardiac silhouette is very narrow and small in size. The mediastinum remains in the midline.

The diagnosis was bilateral tension pneumothoraces confirmed after bilateral chest tube placement in a patient with respiratory distress syndrome.