A 13-day-old male neonate was referred to the centre with tachypnoea noticed since the third day of life. There was no history of fever, cough, cyanosis, forced feeding, choking or difficulty at breastfeeding. A chest X-ray (CXR) was done on the 9th day of life at the referring private hospital, and it showed uniform opacities in the right upper and middle lobes, reported as consolidation. The baby was referred to the centre as tachypnoea persisted despite being on antibiotics therapy for pneumonia.
Examination
On examination, at presentation, at the centre, the baby showed severe respiratory distress. He was not pale, jaundiced, cyanosed or febrile. Respiratory examination revealed a respiratory rate of 100 cycles/minute, inter-costal and sub-costal recessions, bulging anterior chest wall, hyper-resonant percussion notes in the right hemithorax, and broncho-vesicular breath sounds, which were reduced in the lower half of the right hemithorax posteriorly. Computed tomography (CT) scan was done.
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