A 3 day old preterm neonate with breathing difficulty from birth was admitted in the NICU. A chest X ray was done which is shown below. Which of the following disorders is the neonate apparently suffering from?

Ans. A. Respiratory Distress SyndromeThis chest X ray above reveals a picture consistent with diffuse reticulo granular opacities in both lung fields. Air bronchogram can also be seen. This chest x ray is typical of respiratory distress syndrome (hyaline membrane disease). Chest X ray in neonatal pneumonia can be non-specific revealing infiltrates, consolidations, and sometimes even pleural effusion(s). Transient tachypnea of the newborn is a benign disorder in which the chest X ray classically shows increased vascular markings and fluid in the interlobar fissures.