Is a male newborn at 34 weeks gestation with respiratory distress without infecting circumstances. Caesarean section on labor started. He comes from the twins pregnancy, he is the second born and sister is without symptoms. What suggest the radiologic image?

Seems like pneumomediastinum

thanks for posting your case here

i see a little displacement of main airways toward lt, with that -black- representing tha air

highly suggestive of pneuomomediastinum .

make sure baby recieved proper ventilation , if on cpap start ventilation if his distress score is raising

no need for drain in these cases .

thanks