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A 6-week-old girl was referred to the respiratory unit in a tertiary hospital for persistent tachypnoea since she was 5 days old and changes on her chest X-ray. She was born at 37+2 weeks following emergency caesarean section for breech. Antenatal scans were normal and there were no risk factors for sepsis. At day 5 of life, the parents noted increased work of breathing with significant subcostal recessions. Her tachypnoea gradually worsened, and this affected her feeds. A chest X-ray was performed (figure 1) at 4 weeks of age and images were shared with the tertiary unit for opinion. She was admitted at 6 weeks to the tertiary unit for further investigations. On examination, she appeared lethargic and had a respiratory rate of 45 beats per minute with saturations 97% in air. She had good air entry bilaterally with moderate subcostal recessions. …
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