Adult and neonatal respiratory distress syndromes aren’t exactly related to each other, but they do present with the same CXR finding. They can also make difficult exam questions that require making the diagnosis based on a complicated vignette, and then knowing more details about the pathophysiology of each disease. We’ll try to strengthen our foundational knowledge of ARDS & NRDS, and then understand how they present so we’re not intimidated by the tough vignettes.