Newborn whose nasogastric tube cannot be advanced into the stomach

CXR of esophageal atresia
Initial CXR AP (left) shows an air-filled dilated proximal esophagus to the left of the endotracheal tube. CXR lateral (right) taken later after nasogastric tube was placed and could not be advanced further shows interval decompression of the proximal esophagus. There is gas present in the stomach and bowel.

The diagnosis was esophageal atresia with distal tracheo-esophageal fistula.