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Medulloblastoma with CNS Dissemination
Joseph Junewick, MD FACR
over 5 years ago
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Case History


2 week old infant with difficulty breathing.


Case Detail

Anatomy: Chest
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Infectious-Inflammatory
Created: over 8 years ago
Updated: over 7 years ago
Tags: PEDS
Modality/Study Types: US MR CT DR
Activities:
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Reveal Clinical Notes

History of transient tachypnea of the newborn.

Reveal Findings

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.

Reveal Discussion

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).

Reveal Diagnosis

Necrotizing pneumonitis

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