Left-sided Congenital Diaphragmatic Hernia vs. Bullous Pneumopathy
Left picture: The clinical and radiological diagnosis is a congenital diaphragmatic hernia of the left side with intestinal loops displaced in the thoracic cavity. Right picture: The diagnosis is a bullous pneumopathy following a staphylococcus aureus pneumonia. In contrast to the chest x-ray of the contralateral patient the heart is not displaced to the right side, and the structure alteration neither occupies the main part nor the periphery of the left thorax. Nevertheless, the differentiation from a congenital diphragmatic hernia may be more difficult in case of numerous alveolar structures in bullous pneumopathy.
Left picture: Chest x-ray of a newborn with RDS. Alveolar structures are visible at the site of the left lung. Right picture: Chest x-ray of a young infant with respiratory signs and symptoms. At least two alveolar structures are recognizable at the site of the left lung close to the heart shadow.