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PRESENTING FELLOW

Piush Mandhane, BSc MD
Respiratory Medicine Fellow
Hospital for Sick Children
Toronto, Ontario, Canada

CASE PRESENTATION

A neonate with respiratory distress and right sided pleural effusion

HISTORY

The male patient (JB) presented with grunting and respiratory difficulty immediately after birth. JB was subsequently transferred to the university hospital Neonatal Intensive Care Unit.

JB was born to a 21-year-old. G4P2 mother. The delivery was spontaneous and vaginal at 34 weeks gestation. APGAR's at birth were 6 at 1, 7 at 5, and 9 at 10 minutes.

Height, Weight, and Head Circumference were normal for gestational age. Aside from the obvious distress, the physical examination was unremarkable.

BELOW, the CHEST X-RAY taken at this time.


ENLARGE this CHEST X-RAY.

HOW WOULD YOU INTERPRET THIS CHEST X-RAY?


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