4 day old premature infant had a chest x-ray to assess place | Figure 1

CincyKidsRad

Cincinnati Children's Radiology

4 day old premature infant had a chest x-ray to assess placement of support apparatus. Sometimes abnormalities of the abdomen are seen such as the diffuse increased lucency (white arrows) which overlies the entire visualized portion of the abdomen, consistent with free intraperitoneal air (FA). Also seen is the PICC tip overlying the right atrium (should be over SVC), ET tube tip probably over right mainstem bronchus, Replogle nasogastric tube tip (black arrow) over the left upper quadrant of the abdomen. Causes of massive FA: spontaneous ileal perforation, NEC, gastric. #ThoraxThursday

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