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s in neonates.. · There are still some controversies on the ultrasound diagnostic criteria of TTN.. · Lung ultrasound is a highly accurate diagnostic tool, which may be a viable and superior alternative to CXR, in diagnosing TTN.. · Lung ultrasound can help differentiate TTN from other etiologies of respiratory distress in neonates.. · There are still some controversies on the ultrasound diagnostic criteria of TTN..  The fetal inflammatory response syndrome (FIRS) is characterized by elevated concentrations of inflammatory cytokines