Subependymal nodular heterotopia
Heather Borders, MD
over 7 years ago
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Joseph Junewick, MD FACR
|Diagnostic Category: Infectious-Inflammatory
|Created: over 7 years ago
|Updated: over 7 years ago
2 week old infant with difficulty breathing.
History of transient tachypnea of the newborn.
DR – Bilateral right greater than left consolidations; no mediastinal shift.
CT- Biltateral peripheral pulmonary consolidations with heterogeneous attenuation; pleura difficult to assess.
US – Consolidated lung with rounded hypoechoic foci; minimal exudative pleural disease.
MRI – Multiple fluid signal areas within densely consolidated lung.
Given the patient’s age and history of respiratory distress at birth, this likely is a late manifestation of neonatal pneumonia. Neonatal pneumonia may be acquired as a congenital infection (e.g., TORCH), postamnionitis (premature rupture of membranes), or transnatal (e.g., group B beta hemolytic streptococcus, E. coli, enterococcus, chlamydia).