TITLE: Lung disease of prematurity with pneumothorax.
The lungs have low volume and are diffusely affected by fine, granular opacities. The airways are seen as air bronchograms.
There is a persistent left pneumothorax despite adequate placement of a chest tube. Note the pleural air is best seen medially in this supine patient. It is also seen well in the posterior costophrenic sulcus. Note that in this patient the mediastinum is deviated and the hemidiaphragm is even depressed but the pneumothorax is not under tension. Some subcutaneous emphysema is seen laterally.
A mediastinal surgical clip is present because of recent surgical repair of a patent ductus arteriosus.
An endotracheal tube, an umbilical artery catheter, a right internal jugular central line, and a nasogastric tube are seen.