Fine Basilar Crackles in Pediatrics — Case | Pediatric Respiratory | SMLE Q#11109
SMLE Question #11109
Pediatrics
Pediatric Respiratory
Objective: OBJ-273
Last updated: February 2026
A male infant is born at 38 weeks by elective cesarean section after an uncomplicated pregnancy. Within 1 hour of birth, he develops tachypnea, subcostal retractions, and intermittent grunting. Breath sounds are mildly decreased bilaterally with fine basilar crackles. Chest radiograph shows prominent central vascular markings, fluid in the interlobar fissures, and mild hyperinflation. Which of the following is the most likely diagnosis?
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