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A source of tension
  1. Helen Williams
  1. Department of Radiology, Birmingham Childrens Hospital, Birmingham, UK
  1. Correspondence to Dr Helen Williams, Department of Radiology, Birmingham Childrens Hospital, Birmingham B4 6NH, UK; helen.williams{at}

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This 4-day-old neonate born at 25 weeks of gestation suddenly deteriorated, becoming hypoxic and bradycardic while ventilated. Breath sounds were reduced bilaterally. Pneumothorax was suspected but cold light transillumination was inconclusive and an urgent chest radiograph was obtained (figure 1). Answer the following questions based on the chest radiograph appearances.

Figure 1


  1. Urgent intervention is not indicated because there is only partial left lung collapse. (True or False?)

  2. This complication is more frequent in term neonates. (True or False?)

  3. Mediastinal shift to the right is due to right lung collapse. …

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  • Competing interests None declared.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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