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Case: Meconium Aspiration

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So this is a brand new infant who was term with, uh,

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concern for meconium stained fluid at the time of birth.

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So this is unfortunately a nice example

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of meconium aspiration syndrome.

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Number one. This patient has an endotracheal tube,

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so has pretty significant respiratory distress.

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Number two, we have these diffused patchy opacities

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that centrally look kind of thick

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and rope like, um, very coarse diffuse opacities.

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But this infant also has bilateral pneumothoraces.

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So on the right we see pneumothorax, both superiorly

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and inferiorly and anteriorly.

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Remember, this patient is supine in position

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and so the air is going to go

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to the non-dependent part of the lung.

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And then on the left we see a smaller pneumothorax,

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both inferiorly here at the left costophrenic sulcus

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with a deep sulcus sign.

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Plus we see, um, abnormal pleural gas superiorly

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and medially in this anterior left chest.

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So this is meconium aspiration syndrome

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with bilateral peu authorities, right larger than left.

Report

Text

Faculty

Judy H. Squires, MD

Associate Professor of Radiology

UPMC Children's Hospital of Pittsburgh

Tags

X-Ray (Plain Films)

Pleural

Pediatrics

Non-infectious Inflammatory

Neonatal

Lungs

Chest

Acquired/Developmental