Why this newborn has labored breathing?

Chief Complaint A newborn baby presents with hypoxemia & labored breathing. Investigations The chest x ray shows interstitial changes, alveolar infiltration & peribronchial thickening. He also has been diagnosed with hypothyroidism later. At the age of 2 months, he again brought with chronic respiratory symptoms & dysphagia. Bronchoscopy was being performed but shortly after that he again started having labored breathing. Diagnosis How this case should be taken? Any comments of probable diagnosis? Treatment What should be done as management part?

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Check for CXR, any lungs pathology May be Pneumonitis Do repeat TFT Also Do CT Neck and CT chest

Peicardal effusion

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