Premature newborn after umbilical catheter placement

AXR of umbilical venous catheter in right portal vein
CXR AP shows the tip of the umbilical venous catheter within the right portal vein. The tip of the umbilical arterial catheter is at T5. There is ground-glass opacity in the lungs.

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