Normal neonate tracheal deviation

Case contributed by Patrick Baird-Fraser
Diagnosis probable

Presentation

Increased WOB. Reduced air entry left base.

Patient Data

Age: 7 months
Gender: Male

Mild bilateral perihilar bronchial wall thickening. No collapse or consolidation. Extra thoracic trachea is noted to be deviated to the left likely secondary to expiratory film. 

Case Discussion

Buckling of the extrathoracic trachea is common in children under 2 years old and shouldn't be mistaken for pathology. Intrathoracic trachea however should not be deviated in children. 

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