Premature newborn after placement of two umbilical venous catheters

CXR of umbilical venous catheter in the left pulmonary vein
CXR AP shows one umbilical venous catheter coursing into the right atrium, through a patent foramen ovale, into the left atrium and then into a left pulmonary vein. Another umbilical venous catheter has its tip projecting intrahepatically within the main portal vein. The umbilical arterial catheter tip is at T8.

The diagnosis was high and low malposition of an umbilical venous catheter and appropriate position of an umbilical arterial catheter.