The chest radiograph is the most frequently requested radiological investigation encountered within paediatric practice, and although pathological manifestations may mimic that seen in adults, a thorough knowledge of the variations within paediatric practice is vital to the general radiologist. Table 50.3 Causes of Parahilar Peribronchial Opacity, Table 50.4 Conditions Causing Hazy, Reticular, or Reticulonodular Patterns, Pulmonary edema, when it is confined to the interstitial space, often produces a hazy or reticular pattern in the lungs. Pulmonary interstitial glycogenosis (PIG) may present in the preterm or term infant very soon after birth. In TTN the normal physiological clearance is delayed. Lymphocytic infiltrative disease produces a reticulonodular pattern that is indistinguishable from infection (, Pulmonary aeration abnormalities are best evaluated on the chest radiograph by observing the following criteria: (, Pulmonary hypoplasia in the neonate can be unilateral or bilateral. At the end of this phase primitive alveoli form. 2023 A. Mendelson, MD Star Direct, Inc. | About The Author | Imaging Categories | Disclaimer | Privacy Policy | Contact. Streaky opacities scattered in both lung fields means that there might be small straight lung shadows along the air passages on your X-ray on both the sides. The undulated appearance of the left thymic border is due to rib indentation (arrow). congenital pulmonary airway malformation (CPAM), mass effect with contralateral mediastinal shift. Other imaging findings and the clinical history can help us narrow the diagnosis. Limiting the amount of time in the bathtub. Rotation of the patient causes problems with interpretation, including apparent mediastinal shift/distortion of vasculature, the thymus and vessels mimicking a mass (Fig. The left lung is more hyperlucent than the right and there is a paucity of left-sided vascular markings. The right thymic margin can often have a sharp sail-like configuration (Fig. People should also choose soft, loose-fitting clothes made of natural materials for babies as these are less likely to irritate or put pressure on the skin. cystic change) or predisposing factors, e.g. Babies who spend more time in the womb tend to have less vernix on them at birth, meaning that their skin has had more exposure to amniotic fluid. 2. In some cases where US is inconclusive, magnetic resonance imaging (MRI) is performed to differentiate a normal thymus from mediastinal pathology. Diffuse: Diffuse opacities show up in multiple lobes of one or both lungs. Ground glass opacity: Causes, symptoms, and treatments - Medical News Today
Karen Sue Trent, Articles S