Presentation
32 week premature ventilated baby with increasing difficulty with ventilation.
Patient Data
Age: 2 days
Gender: Female
From the case:
RDS and pneumothorax
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ET tube and NG tube in appropriate positions. No humeral head ossification.
Low volume lungs with widespread and symmetrical airspace opacification.
Increased lucency throughout the right hemithorax secondary to a large pneumothorax.
Case Discussion
The commonest parenchymal abnormality in the preterm neonate is RDS. Characteristically, there are reduced lung volumes and increased airspace opacification.
Complications of RDS, especially when intubated and ventilated are pneumothorax (seen here) and pulmonary interstitial emphysema (PIE).
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