Re: pediatric case i can see diffuse ground glass ( actually, granular ) opacity and an endotracheal tube. can't appreciate any air bronchograms ( may be the bronchii have not off-loaded the fluid yet ) i go for neo-natal respiratory distress syndrome due to surfactant def. possible causes -prematurity -infant born to diabetic mother
fracture in clavicoacromial joint (we can see a free acromial end of clavicle). endotracheal tube is putten becase this fracture requires an operation.
no, the esophagus runs down on the left side and the ett is pointing to the right. 2 possibilities 1) the ett could be in the rt bronchus ( but it seems to be well above the carina ) 2) it could be slightly twisted in both cases the air entry will be preferentially into the right side. the differential air entry into either side ( left or right ) with the endo tracheal tube, above the carina, is courtesy the "Conada effect" For those who may be wondering about the "Conada Effect" - it just means than when a fluid moves past a curved surface it loves to caress it, creating a venturi like effect. I cud hav easily used another example, than this boring candle and jar...but U guys are free to imagine...... Below is an illustration, showing diff. air entry into left side. So if withdrawing the ETT dosen't help, think of this possibility and try changing/correcting the axis of ETT.
Correct Answer : surfactant deficiency disease (synonyms;Infant respiratory distress syndrome , hyaline membrane disease )
