Presentation
Vacuum assisted delivery at term. Cried at birth but became dusky at 2 minutes of life. Required some positive end expiratory pressure and oxygen. Now on high flow in air
Patient Data
Age: 0 days
Gender: Male
From the case:
Neonatal pneumothorax
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Small volume right pneumothorax visible at the periphery of the right lower zone. Subtle lucency at the medial right lung also. Further lucency at the left costophrenic angle is also suspicious for a small volume pneumothorax.
Case Discussion
These small pneumothoraces were treated conservatively and the baby was discharged home after a few days on oxygen. It is important to describe these subtle changes as it allows for good and prompt decision making, particularly if the patient condition deteriorates.