In diagnostic imaging of thoracic pathologies in mature and especially imma
ture neonates, chest X-ray has a leading position. Profound knowledge of th
e normal chest Xray and the potential physiological perinatal changes is th
e basic requirement for interpretation of the X-ray of a neonate. Childhood
pathologie: Many congenital and acquired diseases that the radiologist is
faced with in neonatology are unknown in the imaging of adults. Many of the
se changes are life-threatening or may have an impact on the patient's futu
re quality of life. Therefore early diagnosis in close cooperation with the
paediatrician is essential. We give here an overview of the most important
pathologic changes that the radiologist may be confronted with in daily ro
utine.