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Special Feature
November 1999

Radiological Case of the Month

Author Affiliations

From the Departments of Diagnostic Radiology (Dr D. Long) and Neonatology (Dr Seguin), The Ohio State University Medical Center, and the Department of Diagnostic Radiology (Dr F. Long), Columbus Childrens Hospital, Columbus, Ohio.

 

BEVERLY P.WOODMD

Arch Pediatr Adolesc Med. 1999;153(11):1195-1196. doi:10.1001/archpedi.153.11.1195

A 6-MONTH-OLD BOY presented with a history of raspy breathing that disappeared when held upright. He had no feeding problems. On physical examination, a mild expiratory wheeze and a grade ¾ systolic heart murmur were heard at his back. A chest radiograph was obtained (Figure 1).

The infant was born at 31 weeks' gestational age weighing 1213 g. He required a short course of respiratory assistance, and an umbilical artery catheter was used for the first 5 days. The hospital course was complicated on day 5 by Staphylococcus aureus sepsis and osteomyelitis of the left femur, ischium, and tibia. Purulent fluid was present at the umbilical stump. An echocardiogram showed no abnormalities. Further imaging evaluation included a contrast-enhanced computed tomographic scan (Figure 2) and a magnetic resonance image of the thorax (Figure 3).

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