Initial CXR AP (left) shows the lungs to be bilaterally hypoexpanded and to have symmetrical ground glass opacity present throughout them. CXR AP obtained 4 hours after the administration of artificial surfactant (right) shows interval clearing of ground glass opacity from the right lung which is now normally expanded. The left lung remains hypoexpanded and has ground glass opacity throughout it.
The diagnosis was asymmetrical distribution of artificial surfactant into primarily the right lung in a patient with respiratory distress syndrome.
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