Demographics:
6 days old, Male
Indication:
Respiratory distress, abdominal distension (term delive...
Respiratory distress, abdominal distension (term delivery)
Findings
- Gas-filled loops of bowel overlying the left hemithorax
- Rightward mediastinal shift
- Nonenlarged cardiothymic silhouette
- Pneumatosis involving loops of bowel in the left hemiabdomen with a paucity of bowel gas in the right hemiabdomen
- No portal venous gas or evidence of pneumoperitoneum
- Endotracheal tube tip projects 1.5 cm above the carina
- Gastric tube overlies the left upper quadrant
- Umbilical venous catheter projects near the expected located of the inferior cavoatrial junction
- Umbilical arterial catheter tip overlies the T7-T8 level
Diagnosis
Necrotizing enterocolitis (NEC)
Sample Report
Findings consistent with left congenital diaphragmatic hernia. Associated rightward mediastinal shift.
Both lungs are well-aerated.
Pneumatosis involving loops of bowel in the left hemiabdomen without portal venous gas or evidence of pneumoperitoneum.
Discussion