Neonatal CXRs made easy: CDH?? Effusions?? Pneumothorax?!

How to diagnose an Esophageal Atresia vs. an EA with a TE fistula? What about an effusion vs a pneumothorax? Diaphragmatic eventration vs paralysis? What does a CPAM look like? A CDH?
You've learnt the basics: now take it up a notch. Review weird (but still relatively common!) chest X-rays we see in the NICU.
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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References:
radiopaedia.or...
Congenital diaphragmatic hernia - Scientific Figure on ResearchGate. Available from: www.researchga... [accessed 3 Apr, 2023
radiopaedia.or...
Khatuna Lomauri*
Department of Neonatal Intensive Care Unit, Tbilisi State Medical University, Georgia, UK
Received: July 02, 2018; Published: July 13, 2018
*Corresponding author: Khatuna Lomauri, Department of Neonatal Intensive Care Unit, Tbilisi State Medical University, Georgia, UK
Neonatal pleural effusion due to COVID-19 pneumonia
Parisa Armanpoor
Pediatrics & Neonatology
Volume 63 Issue 3 Pages 322-323 (May 2022)
DOI: 10.1016/j.pedneo.2021.12.006
www.learningrad...
Forero Zapata, M Pappagallo. N Engl J Med 2018;379:e11.
www.ajronline....
Diaphragmatic Eventration Misdiagnosed as Diaphragmatic Hernia in a Preterm Infant with Respiratory Distress: A Case Report and Review of Diagnosis and ManagementJ. Bishara, S. Burjonrappa, M. Pirzada, C. Halaby
www.paediatric...
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**TIMESTAMPS**
00:47 Pneumothorax
04:02 CDH
06:12 Right sided CDH
06:52 Pleural Effusion
08:38 Esophageal Atresia
09:14 Esophageal Atresia with TE Fistula
11:19 Pulmonary Hypoplasia
12:28 Diaphragmatic Eventration
14:22 Diaphragmatic Paralysis
15:51 CPAM00:47 Pneumothorax
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

[@shashwatpriyadarshi972]

Hello Dr.Tala I am a radiologist from India and Iam preparing for my FRCR UK part 2b examination. Luckily I bumped into your channel while watching pediatric radiology lecture and I must your lectures are very educative and will help me significantly in preparing for my upcoming exam. Thanks a ton and God bless you

[@TalaTalksNICU]

What a lovely message!! Thank you!!! So glad these help at all! We wish you so much luck on your exams. Thank you for taking the time to send over so much positivity!

[@user-yj8ye1gy3c]

Thank you Dr Tala . Your materials are always helpful. Pedia from Yemen

[@TalaTalksNICU]

Thank you so much for taking the time to comment and for watching all the way from Yemen! Shukran!

[@yusufsrour6276]

Thank you very much Dr Tala Great presentation I am from Syria I am working in Oman

[@TalaTalksNICU]

Ahlan!!! Thanks so much for watching! Hope you are enjoying your role in Oman- it looks like such a beautiful country!

[@TheMDM_YT]

Loved it what great neonatal content!

[@TalaTalksNICU]

Thank you so much! Appreciate you taking the time to comment :)

[@Anjel733]

Thanks from San Francisco, great x-ray video series!

[@TalaTalksNICU]

Yay! So happy you’re watching from San Francisco- I don’t think anyone has written to us from there yet :) really appreciate your comment :)

[@mohamedosama9735]

Thanks ... radiologist from Egypt

[@TalaTalksNICU]

So happy you’re watching from Egypt! Not sure how much these videos added for you but so happy you’re here :)

[@Dr.Ghoroub]

Thank you , im paediatrician from syria

[@TalaTalksNICU]

Marhaba! Thanks so much for being here doctor :)

[@ivannahrytsenko3169]

Thanks for such informative videos!!!You have great talent to explain!!!!!

[@TalaTalksNICU]

We’re so glad you think so- thanks so much for your comment and for watching :)

[@RadiologyGuru]

Plz give lecture on congenital cardiac diseases with X-rays it will be really helpful thanx

[@TalaTalksNICU]

Oh that’s such a great idea- will probs get that out really soon in January. Thank you!!!!

[@RadiologyGuru]

I’ll be waiting desperatly for your video

[@despoinagrigoriadou9935]

Hi Dr Tala from Athens Greece.thanks for the video.

[@TalaTalksNICU]

Hello! So glad you’re watching from Greece- try to stay cool in this weather!

[@abdirahmanabdi6586]

Dr. Tala, thank you so much!

[@TalaTalksNICU]

Thanks so much for being here- we appreciate your comments

[@PROFKASPER]

Thank you from EGYPT 🌹🌹

[@TalaTalksNICU]

We love that you’re watching all these videos! Thanks for being here!

[@PROFKASPER]

@@TalaTalksNICU I love to watch your videos its my pleasure and fun 😍 Dr. Tala can I contact you ? If yes how ?!!

[@TalaTalksNICU]

Hello! Our email is [e-mail] :)

[@RadiologyGuru]

Amazing lecture cleared concepts thanx❤I’m from pakistani

[@TalaTalksNICU]

That's great! Thanks so much for taking the time to write- happy you're watching from Pakistan.

[@ahmedelbahtiti586]

Thanks tala for this nice presentation.if you do not mind can you make a lecture about abdominal x rays including surgical emergencies?

[@TalaTalksNICU]

Hello! Yes-we've started making that video. (We find everyone gets bored with same type of videos in a row)- so we'll probably be putting that out in a coupe of months. Thanks for being here!

[@Mohammedkhalaf-vm6xj]

أتمني شرح للتنفس الصناعي ومشاكله

[@TalaTalksNICU]

My father translated for me! We have introductory videos on ventilators- but we will plan on filming a more specialized video soon. Thank you!

[@nidomalghani2778]

hi dr tala thanku so much for such wonderfull videos....

[@TalaTalksNICU]

So glad they’re helping you! Thanks so much for taking the time to comment :)

[@marionparsons2292]

Thanks for the new video, I'm very happy to see a series on X rays! I am confused by the pleural effusion image at 8:05. What is the dark semicircle in the upper left lung - does this baby also have a pneumothorax? Or is that an area of well-inflated lung? The shape and location seem odd for an area of good aeration, but there are some wisps of white in the area that make me think it's not a pneumothorax.

[@TalaTalksNICU]

Hi Marion- great point. I had to go back and look at the X-ray- that is a weird demarcation down the center of the left lung. But as you pointed out- there are good lung markings going out to the periphery so doesn't look like a pneumothorax. It also seems like it's too far lateral to be a pneumomediastinum. I wonder if this is an artifact from something underneath the baby? Excellent comment though

[@marionparsons2292]

@@TalaTalksNICU OK, well at least I'm not the only one confused by that image, that makes me feel better! I am writing from Toronto, by the way.

[@swatidubey3534]

Thank you tala ! Kindly include abdominal xrays too

[@TalaTalksNICU]

Hello! Thanks for taking time to comment. We will be doing a KUB one but we’ll take a break from this type for a couple of months. So will be sometime late summer - KUB as well as placement of lines :)

[@randalbakry5059]

thanksss

[@TalaTalksNICU]

Thank you for being here!

[@Imrann752]

Great content ❤

[@TalaTalksNICU]

Thanks so much!

[@onlinehandle007]

🎉🎉🎉🎉🎉❤ thanks

[@TalaTalksNICU]

So happy you’re here and watching all of these!!!

[@user-wj8ec7mf1c]

Thank you

[@TalaTalksNICU]

Thanks so much for watching

[@samarsalama2337]

❤❤❤❤

[@TalaTalksNICU]

Thank you Samar :)

[@DrMohamedAyyedi]

Tunisia 🇹🇳🇹🇳🇺🇸🇺🇸

[@TalaTalksNICU]

Merci! So happy you’re here :)

[@naitramsingh6942]

Awesome cases, really interesting presentation and fun to learn, thanks guys 😊, also whats ur email add. to send in some x rays

[@TalaTalksNICU]

HI Dr. Singh! Thanks SO much! Would LOVE some help with X-rays or really any interesting images you may find! [e-mail]