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Abstract

Although pneumatocele secondary to meconium aspiration pneumonia is an important differential diagnosis and can happen as early as 48 hours, it is unlikely for the following reasons: the meconium found in both the ligure and below the vocal cords was thin and scanty; the baby deteriorated quickly and developed a radiological picture in the first 24 hours after birth that showed progressive features of PIE (original x-rays are available on request); and the response to selective intubation was dramatic (within less than 48 hours).