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Clinical presentation:
Premature delivery of a girl at 30 weeks who rapidly became cyanosed after a good initial assessment. The infant was distressed and there was visible intercostal recession on breathing.

There is lung opacification, "white-out", of both lungs with an air-bronchogram and visible extensive nodularity.

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The lungs show interstitial emphysema, particularly on the right side. The periphery of both lungs retains an extensive fine nodular appearance. There is a pleural drain in-situ, following an earlier pneumothorax.


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Clinical presentation:
Different case, no detail.

The right lung is almost completely opacified with a fine nodularity. The right hemidiaphram is indistinct. There is some early peri-hilar interstitial emphysema. This is more extensive on the left side, where the left lung is completely involved.

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Clinical presentation:
Born prematurely, respiratory distress treated 3 weeks earlier.

There is an endotracheal tube in-situ. The view is not in full inspiration. The right lung shows some nodularity and air-filled bronchi. The left lung shows multiple air-spaces that seem to have thick walls.

[surfactant] [structure]

[Differential]

cases that might resemble this pathology

[View large image] Neonatal wet lung. (case report)
[View large image] Expiratory film, normal (case report)
[View large image] [View large image]
Infracardiac TAPVD (case report)
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[London South Bank U.]

IDM June 2006