Respiratory distress syndrome

Case contributed by Matt A. Morgan
Diagnosis almost certain

Presentation

24-25 week premature infant (750-1000 g). Increasing oxygen requirements (FiO2 42-48%).

Patient Data

Age: 3 weeks old
x-ray
  • lung volumes are mildly decreased
  • diffuse hazy lung opacification with diffuse bilateral granular opacities
  • orogastric tube, with tip in the stomach

Case Discussion

Respiratory distress syndrome (RDS) is a consequence of surfactant deficiency in premature infants. It can worsen and improve relatively rapidly. In this case, the diffuse hazy opacification of the lungs indicates relatively severe RDS.

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.