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Case #5

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Demographics: 11 days old, Male
Indication: Evaluate endotracheal tube (born at 32 weeks)

Findings

  • Endotracheal tube tip projects at the level of T2, approximately 5 mm above the carina
  • Enteric tube terminates in the distal esophagus
  • Right lower extremity PICC with tip at the level of T11
  • Branching lucencies in the left lung with hyperlucency of the medial left lung base overlying the cardiac silhouette
  • Mild groundglass opacification throughout the right lung
  • Mild enlargement of the cardiothymic silhouette
  • No pleural effusion
  • Paucity of bowel gas in the right hemiabdomen without dilated bowel loops

Diagnosis

Pulmonary interstitial emphysema (PIE)

Sample Report

Endotracheal tube tip projects at the level of T2, approximately 5 mm above the carina.

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

Right lower extremity PICC with tip at the level of T11.

Branching lucencies in the left lung are concerning for pulmonary interstitial emphysema (PIE). Hyperlucency of the medial left lung base overlying the cardiac silhouette may represent a pneumatocele or medial pneumothorax. Recommend attention on close interval follow-up imaging.

Mild groundglass opacification throughout the right lung, which may relate to respiratory distress syndrome and/or edema.

Mild enlargement of the cardiothymic silhouette.

No pleural effusion.

Paucity of bowel gas in the right hemiabdomen without overt evidence of bowel obstruction.

Discussion

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