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Neonatal Pneumothorax
Michael R. Aquino, MD, MHSc
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KEY FACTS

  • Imaging

    • Top Differential Diagnoses

      • Pathology

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Air in pleural space between visceral & parietal pleura

          IMAGING

          • Radiographic Findings

            • CT Findings

              • Ultrasonographic Findings

                • Imaging Recommendations

                  DIFFERENTIAL DIAGNOSIS

                    PATHOLOGY

                    • General Features

                      CLINICAL ISSUES

                      • Presentation

                        • Natural History & Prognosis

                          • Treatment

                            DIAGNOSTIC CHECKLIST

                            • Reporting Tips

                              Selected References

                              1. Cools F et al: Elective high frequency oscillatory ventilation versus conventional ventilation for acute pulmonary dysfunction in preterm infants. Cochrane Database Syst Rev. 3:CD000104, 2015
                              2. Aly H et al: Pneumothorax in the newborn: clinical presentation, risk factors and outcomes. J Matern Fetal Neonatal Med. 27(4):402-6, 2014
                              3. Duong HH et al: Pneumothorax in neonates: Trends, predictors and outcomes. J Neonatal Perinatal Med. 7(1):29-38, 2014
                              4. Cizmeci MN et al: The utility of special radiological signs on routinely obtained supine anteroposterior chest radiographs for the early recognition of neonatal pneumothorax. Neonatology. 104(4):305-11, 2013
                              5. Agrons GA et al: From the archives of the AFIP: Lung disease in premature neonates: radiologic-pathologic correlation. Radiographics. 25(4):1047-73, 2005
                              6. Liu DM et al: Utilization of ultrasound for the detection of pneumothorax in the neonatal special-care nursery. Pediatr Radiol. 33(12):880-3, 2003
                              7. Goo HW et al: Using edge enhancement to identify subtle findings on soft-copy neonatal chest radiographs. AJR Am J Roentgenol. 177(2):437-40, 2001
                              8. O'Keeffe FN et al: Mediastinal pseudomass caused by compression of the thymus in neonates with anterior pneumothorax. AJR Am J Roentgenol. 156(1):145-8, 1991
                              9. Markowitz RI: The anterior junction line: a radiographic sign of bilateral pneumothorax in neonates. Radiology. 167(3):717-9, 1988
                              10. Hoffer FA et al: The cross-table lateral view in neonatal pneumothorax. AJR Am J Roentgenol. 142(6):1283-6, 1984
                              11. Fletcher BD: Medial herniation of the parietal pleura: a useful sign of pneumothorax in supine neonates. AJR Am J Roentgenol. 130(3):469-72, 1978
                              12. Swischuk LE: Two lesser known but useful signs of neonatal pneumothorax. AJR Am J Roentgenol. 127(4):623-7, 1976
                              Related Anatomy
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                              Related Differential Diagnoses
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                              References
                              Tables

                              Tables

                              KEY FACTS

                              • Imaging

                                • Top Differential Diagnoses

                                  • Pathology

                                    • Clinical Issues

                                      TERMINOLOGY

                                      • Definitions

                                        • Air in pleural space between visceral & parietal pleura

                                      IMAGING

                                      • Radiographic Findings

                                        • CT Findings

                                          • Ultrasonographic Findings

                                            • Imaging Recommendations

                                              DIFFERENTIAL DIAGNOSIS

                                                PATHOLOGY

                                                • General Features

                                                  CLINICAL ISSUES

                                                  • Presentation

                                                    • Natural History & Prognosis

                                                      • Treatment

                                                        DIAGNOSTIC CHECKLIST

                                                        • Reporting Tips

                                                          Selected References

                                                          1. Cools F et al: Elective high frequency oscillatory ventilation versus conventional ventilation for acute pulmonary dysfunction in preterm infants. Cochrane Database Syst Rev. 3:CD000104, 2015
                                                          2. Aly H et al: Pneumothorax in the newborn: clinical presentation, risk factors and outcomes. J Matern Fetal Neonatal Med. 27(4):402-6, 2014
                                                          3. Duong HH et al: Pneumothorax in neonates: Trends, predictors and outcomes. J Neonatal Perinatal Med. 7(1):29-38, 2014
                                                          4. Cizmeci MN et al: The utility of special radiological signs on routinely obtained supine anteroposterior chest radiographs for the early recognition of neonatal pneumothorax. Neonatology. 104(4):305-11, 2013
                                                          5. Agrons GA et al: From the archives of the AFIP: Lung disease in premature neonates: radiologic-pathologic correlation. Radiographics. 25(4):1047-73, 2005
                                                          6. Liu DM et al: Utilization of ultrasound for the detection of pneumothorax in the neonatal special-care nursery. Pediatr Radiol. 33(12):880-3, 2003
                                                          7. Goo HW et al: Using edge enhancement to identify subtle findings on soft-copy neonatal chest radiographs. AJR Am J Roentgenol. 177(2):437-40, 2001
                                                          8. O'Keeffe FN et al: Mediastinal pseudomass caused by compression of the thymus in neonates with anterior pneumothorax. AJR Am J Roentgenol. 156(1):145-8, 1991
                                                          9. Markowitz RI: The anterior junction line: a radiographic sign of bilateral pneumothorax in neonates. Radiology. 167(3):717-9, 1988
                                                          10. Hoffer FA et al: The cross-table lateral view in neonatal pneumothorax. AJR Am J Roentgenol. 142(6):1283-6, 1984
                                                          11. Fletcher BD: Medial herniation of the parietal pleura: a useful sign of pneumothorax in supine neonates. AJR Am J Roentgenol. 130(3):469-72, 1978
                                                          12. Swischuk LE: Two lesser known but useful signs of neonatal pneumothorax. AJR Am J Roentgenol. 127(4):623-7, 1976