Demographics:
7 days old, Male
Indication:
Abdominal distension (born at 24 weeks)
Findings
- Pneumoperitoneum
- Featureless appearance of nondilated loops of bowel in the central abdomen
- Symmetric mild bilateral pulmonary hyperexpansion with mild atelectasis in the right upper lobe
- Endotracheal tube is positioned with tip projecting 3 mm above the carina
- Gastric tube overlies the left upper quadrant
- Umbilical venous catheter tip projects near the inferior cavoatrial junction
- Umbilical arterial catheter tip at the level of T6
Diagnosis
Pneumoperitoneum
Sample Report
Pneumoperitoneum, raising concern for bowel perforation. Recommend surgical evaluation.
Likely lung disease of prematurity.
Discussion