Newborn with hypoxic ischemic encephalopathy status post umbilical arterial and umbilical venous catheter placement

AXR of umbilical arterial catheter in the celiac artery
CXR AP shows the tip of the umbilical arterial catheter to be in the celiac artery. The tip of the umbilical venous catheter is at the junction of the inferior vena cava and right atrium. Esophageal temperature probe tip projects over the mid-esophagus. The patient is lying upon a cooling blanket.

The diagnosis was low malposition of the umbilical arterial catheter and correct position of the umbilical venous catheter in a patient with hypoxic ischemic encephalopathy.