Meconium in liquor after a difficult delivery. Respiratory distress.
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Widespread, bilateral pulmonary airspace opacities. There is differential transradiance with increased lucency on the left consistent with a pneumothorax.
There is background meconium aspiration, but in addition, the transradiance of the hemithoraces is unequal. There are numerous causes for a differential transradiance of the hemithoracies, but there is no significant rotation and a pneumothorax should be considered.
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