Premature newborn after PICC placement

CXR of peripherally inserted central catheter / PICC deep in the right atrium
CXR AP (left) shows the tip of the left upper extremity PICC to project deep within the right atrium. CXR AP (right) obtained later the same day shows the tip of the PICC to have pulled back into the superior vena cava. There is ground glass opacity throughout the lungs.

The diagnosis was deep position of the upper extremity PICC tip in a patient with respiratory distress syndrome.