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Case #5

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Demographics: 1 month old, Female
Indication: Respiratory distress

Findings

  • Endotracheal tube with tip overlying the T4 vertebral body
  • Enteric tube terminates in the stomach
  • Left lower extremity approach PICC with tip overlying the upper inferior vena cava near the cavoatrial junction
  • Bubbly lucencies throughout the right greater than left lungs on a background of hyperinflation and diffuse groundglass opacification

Diagnosis

Pulmonary interstitial emphysema (PIE)

Sample Report

Endotracheal tube with tip overlying the T4 vertebral body.

Enteric tube terminates in the stomach.

Left lower extremity approach PICC with tip overlying the upper inferior vena cava near the cavoatrial junction.

Bubbly lucencies throughout the right greater than left lungs, consistent with pulmonary interstitial emphysema.

No pneumothorax.

Pulmonary hyperinflation with background chronic lung changes.

Discussion

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