Newborn with meconium beneath the vocal cords noted during intubation

CXR of a highly positioned endotracheal tube in a patient with meconium aspiration syndrome
CXR AP shows the tip of the endotracheal tube to be above the thoracic inlet. The lungs are hyperinflated and there are coarse interstitial infiltrates bilaterally.

The diagnosis was an endotracheal tube positioned too high along with meconium aspiration syndrome.