Premature newborn status post umbilical venous catheter placement

CXR of umbilical venous catheter in a pulmonary vein
CXR AP shows the umbilical venous catheter coursing into the right atrium, through a patent foramen ovale, into the left atrium and then into a left pulmonary vein. The umbilical arterial catheter tip is at T4. There is faint ground glass opacity in the lungs.

The diagnosis was high malposition of the umbilical venous catheter and high malposition of the umbilical arterial catheter in a patient with respiratory distress syndrome.