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Virtual Pediatric Hospital: Paediapaedia: Approach to Newborn Chest X-Ray with Diffuse Infiltrates Paediapaedia: Neonatal Chest Clinical and Radiographic Presentations, DDX, Approach to Imaging

Approach to Newborn Chest X-Ray with Diffuse Infiltrates

Michael P. D'Alessandro, M.D.
Peer Review Status: Internally Peer Reviewed


DDX:

Approach/Discussion:
Hyaline Membrane Disease - usually has a uniform distribution of pulmonary opacities, never has pleural effusions, has a decreased lung volume.

Transient Tachypnea of the Newborn - usually has non homogeneous pulmonary opacities, a normal lung volume and may have pleural fluid.

Group B strep pneumonia - usually has non homogeneous pulmonary opacities, may have pleural fluid, lung volume is usually normal.

Meconium Aspiration - usually has nodular patchy non homogeneous densities and may have pleural effusions and an increased lung volume.

References:
See References Chapter.

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