Newborn with respiratory distress

Neurological
US of intracerebral hemorrhage due to extracorporeal membrane oxygenation
CXR AP (above) shows the tip of the nasogastric tube in the left hemithorax. The punctate radiopaque tip of the arterial ECMO catheter projects near the aortic arch. The punctate radiopaque tip of the venous ECMO catheter projects in the right atrium. The endotracheal tube tip projects between the clavicles and the carina.

Coronal (below left) and sagittal (below right) US of the brain shows a round well-circumscribed echogenic lesion adjacent and inferior to the posterior horn of the right lateral ventricle.

The diagnosis was intracerebral hemorrhage as a complication of extracorporeal membrane oxygenation in a patient with a left-sided congenital diaphragmatic hernia.

Published