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.

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.

Premature newborn who has received artificial surfactant

symmetrical 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 lungs to now be normally expanded with symmetrical clearing of the previously seen ground glass opacity present throughout the lungs.

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