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Chest X-ray of Case 1: Bi-basal atelectasis and small bilateral pleural effusion.
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Clinical examination and a chest X-ray ruled out bronchospasm and pneumothorax (Figure 1).
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Chest X-ray of Case 2: Hazy opacification of both lungs' mid and lower zones. Infection versus congestion.
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His blood results showed raised inflammatory markers (Table 2), and his chest X-ray showed pulmonary congestion and infiltrates (Figure 2).
Case 2 on NIV lying on Oxford HELP pillow. The external auditory meatus (Line A) and the sternal notch (Line B) are aligned.
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An immediate resolution of the obstructive breathing pattern was achieved once he was placed in a ramping position using an Oxford HELP pillow (Figure 3).