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Case #4

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Demographics: 0 days old, Female
Indication: Tachypnea (term delivery)

Findings

  • Enteric tube terminates in the distal esophagus
  • Umbilical venous catheter tip overlies the T12-L1 level, near the inferior margin of the left hepatic lobe
  • Umbilical artery catheter tip projects at the level of T8
  • Marked enlargement of the cardiopericardial silhouette with a globular configuration
  • Mild diffuse interstitial pulmonary opacification
  • No pleural effusion or pneumothorax
  • Unremarkable bowel gas pattern

Diagnosis

Tricuspid atresia

Sample Report

Enteric tube terminates in the distal esophagus. Recommend advancing 2 cm for placement in the stomach.

Umbilical venous catheter tip overlies the T12-L1 level, near the inferior margin of the left hepatic lobe.

Umbilical artery catheter tip projects at the level of T8.

Marked enlargement of the cardiopericardial silhouette with a globular configuration, which raises concern for a right heart defect such as pulmonic/tricuspid atresia or Ebstein anomaly. Recommend cardiology evaluation.

Mild diffuse interstitial pulmonary opacification, which may relate to edema or retained fetal fluid.

No pleural effusion of pneumothorax.

Unremarkable bowel gas pattern.

Discussion

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