Answer

Malpositioned endotracheal tube

If an endotracheal tube is positioned incorrectly within the major airways, then lobar collapse can follow in the under ventilated lobes. In this example, the endotracheal tube has been passed along the right main bronchus distal to the origin of the right upper lobe bronchus with subsequent collapse of the right upper lobe and the left lung.

72 Fig. 1.80 The left-sided central venous line is too lateral on the check X-ray.
Fig. 1.81 On the basis of the X-ray in Fig. 1.17 the central venous line was used for parenteral nutrition. There is now a large left-sided pleural fluid collection - the line tip was clearly positioned in the pleural space.

In Figs 1.80 and 1.81 a left-sided central line has been placed in the pleural space (the line appears too lateral) and intravenous nutrition has been infiltrated into the pleural cavity compressing the left lung and the mediastinum.

18-hour-old male neonate. Tachypnoea, sternal and intercostal rescession.

Fig. 1.82 Quiz case.

18-hour-old male neonate. Tachypnoea, sternal and intercostal rescession.

Fig. 1.82 Quiz case.

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