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RADIOLOGY QUIZ ANSWER Table of Contents   
Year : 2009  |  Volume : 19  |  Issue : 1  |  Page : 87-88
Chest


1 Department of Radiology, Sahyadri Speciality Hospital, Plot No. 30-C, Erandawane, Pune - 411 004, Maharashtra, India
2 Department of Paediatrics, Sahyadri Speciality Hospital, Plot No. 30-C, Erandawane, Pune - 411 004, Maharashtra, India

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How to cite this article:
Rahalkar MD, Rahalkar AM, Divekar D, Yelgaonkar J. Chest. Indian J Radiol Imaging 2009;19:87-8

How to cite this URL:
Rahalkar MD, Rahalkar AM, Divekar D, Yelgaonkar J. Chest. Indian J Radiol Imaging [serial online] 2009 [cited 2020 Jan 29];19:87-8. Available from: http://www.ijri.org/text.asp?2009/19/1/87/45354
A newborn baby was admitted for respiratory distress, soon after a Caesarian section performed for acute polyhydramnios in the third trimester. The baby had not cried after birth and, at admission, was moaning, cyanosed, drowsy, limp, and not responding to stimuli; APGAR scores were 4/10, 8/10, and 7/10. The baby showed nasal flaring and sternal and substernal retraction. All neonatal reflexes were absent and there was hypotonia of all the muscles. The baby was put under an oxygen hood, but then required mechanical ventilation.

Neuro USG showed no hemorrhage in the germinal matrix or the ventricle. Chest radiographs revealed normal lungs on day 1 [Figure 1] but showed a collapsed left lung on day 2 [Figure 2].

The baby succumbed to the respiratory distress.


   What is the diagnosis? Top




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   References Top

1.Harper PS. Myotonic dystrophy. 3rd ed. Saunders Publishers: August 2001. p. 223-40.  Back to cited text no. 1    
2.Vanier TM. Dystrophica myotonia in childhood. Br Med J 1960;2:1284-8.  Back to cited text no. 2  [PUBMED]  [FULLTEXT]
3.Fried K, Pajewski M, Mundel G, Caspi E, Spira R. Thin ribs in neonatal myotonic dystrophy. Clin Genet 1975;7:417-20.  Back to cited text no. 3  [PUBMED]  
4.Osborne JP, Murphy EG, Hill A. Thin ribs on chest X-ray: A useful sign in the differential diagnosis of the floppy newborn. Dev Med Child Neurol 1983;25:343-5.  Back to cited text no. 4  [PUBMED]  
5.Fan HC, Lee CM, Ham HJ, Cheng SN, Yuh YS. X-linked centronuclear myopathy. Am J Perinatol 2003;20:173-9.   Back to cited text no. 5    
6.Donaldson JS, Gilsanz V, Gonzalez G, Wittel RA, Gilles F. Tall vertebrae at birth: A radiographic finding in flaccid infants. AJR Am J Roentgenol 1985;145:1293-5.  Back to cited text no. 6  [PUBMED]  [FULLTEXT]

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Correspondence Address:
Mukund D Rahalkar
Department of Radiology, Sahyadri Speciality Hospital, Plot No. 30-C, Erandawane, Pune - 411 004, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0971-3026.45354

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  [Figure 1], [Figure 2]



 

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