HMD (Hyaline Membrane

Disease)
Penyebab tersering gawat napas pd
neonatus yg ditemukan pd bayi prematur
Gambaran radiologis yg khas berupa lesi
granuler yang merata di seluruh paru,
ukuran paru mengecil, batas pembuluh
darah yg tdk jelas dan thoraks berbentuk
bel (bell shape thorax)
Kasus lbh berat bayangan paru lbh
radioopak, adanya air bronchogram,
kadang diperoleh gambaran ground
glass appearance

Radiologi Diagnostik; Sjahriar Rasad, Ed.2
Classic respiratory distress syndrome (RDS). Bell-shaped thorax is due to
generalized underaeration. Lung volume is reduced, the lung parenchyma
has a diffused reticulogranular pattern, and peripherally extending air
bronchograms are present.
http://emedicine.medscape.com/article
Moderately severe respiratory distress syndrome (RDS). The
reticulogranular
pattern is more prominent and uniformly distributed than usual. The lungs
are
hypoaerated. Increased air bronchograms are observed.
http://emedicine.medscape.com/article
Severe respiratory distress syndrome (RDS). Reticulogranular opacities are
present throughout both lungs, with prominent air bronchograms and total
obscuration of the cardiac silhouette. Cystic areas in the right lung may
represent dilated alveoli or early pulmonary interstitial emphysema (PIE).
http://emedicine.medscape.com/article
Tachypnea of the Newborn
Krn lambatnya pembersihan cairan
dlm paru
Sering di sebut wet lung syndrom
Biasanya sembuh spontan
Gambaran Ro memperlihatkan garis-
garis radier berpusat di hilus, kdg
disertai efusi pleura ringan
Radiologi Diagnostik; Sjahriar Rasad, Ed.2
Neonate at age 6 hours. Overaeration and streaky, bilateral, pulmonary
interstitial opacities and prominent perihilar interstitial markings are seen
along with mild cardiomegaly.
http://emedicine.medscape.com/article
Same patient as in Picture 1 at age 2 days. Cardiomegaly has disappeared.
Pulmonary parenchymal abnormalities are diminishing, but perihilar, streaky
markings persist.
http://emedicine.medscape.com/article
Same patient as in Pictures 1 and 2 at age 4 days. Normal heart size and
clear lungs are seen.
http://emedicine.medscape.com/article
Sindrom aspirasi mekonium
Gambaran Ro : bercak yg tersebar di
kedua paru, kdg disertai atelektasis
Radiologi Diagnostik; Sjahriar Rasad, Ed.2
Serial radiographs in a newborn with uncomplicated meconium aspiration.
Radiograph obtained shortly after birth shows ill-defined, predominantly
perihilar opacities in the lungs; these are more severe on the right than on
the left. The lungs are hyperexpanded. The neonate's heart size is within
normal limits. The abnormalities on the initial chest radiograph, aside from
the presence of an endotracheal tube and an umbilical artery catheter, are
identical to those seen in severe cases of transient tachypnea of the
newborn. http://emedicine.medscape.com/article
Radiograph obtained 2 days after Image 1 shows almost complete
resolution of the pulmonary opacities.
http://emedicine.medscape.com/article