Infant is a 24 [**1-31**] week, 678 gm male triplet II who was admitted to the NICU for management of extreme prematurity.
   
   Infant was born to a 34 y.o. G2P0 now 3 mother. Prenatal screens: O+, antibody negative, HBsAg negative, RPR NR, RI, GBS unknown.  IVF pregnancy notable for bleeding in the first trimester, cerclage placement at 19 weeks, and premature rupture of membranes on [**3435-11-28**] am.
   
   Mother presented to [**Hospital1 53**]. Betamethasone given [**11-28**] at 0640. Also started on ampicillin, gentamicin, and magnesium sulfate. Mother's labor progressed despite magnesium and she developed chills and a fever (Tm 101.2). Due to progressive labor and concerns for infection, decision made to deliver infants.
   
   Delivery by Cesarean section. Infant intubated in the Delivery Room and Apgars were 5 at one and 8 at five minutes.
   
   Infant transported to NICU.
   
   Exam:
   VS per CareView, of note has required several boluses of NS for low BP.
   Exam notes recorded on newborn examination form.
   Growth measurements: Wt 678 = 25%.
   
   -- Resp: Infant placed on SIMV. Rec'd 1 dose of surfactant. 
   
   CXR FINDINGS: There are diffuse bilateral opacities within the lungs, left greater
   than right, with increased lung volumes.  
   No pleural effusion or pneumothorax.  An endotracheal tube is
   seen with tip approximately one vertebral body above the carina.  An umbilical
   vein catheter is seen with tip in the superior vena cava and an umbilical
   artery catheter is seen with tip in the mid-thoracic region.
   
   The imaged portions of the abdomen show a few [**Last Name (un) 36399**]-filled loops of bowel
   within the left abdomen.  No abnormal soft tissue mass or calcifications.  No
   free interperitoneal air.  The imaged bony structures are unremarkable.