Premature newborn after PICC placement

AXR of lower extremity peripherally inserted central catheter / PICC in the iliac vein
AXR AP shows a left lower extremity PICC which courses across the midline and down the right common iliac vein. The tip of the umbilical venous catheter projects over the umbilical vein. The tip of the umbilical arterial catheter projects at T6.

The diagnosis was low malposition of the PICC and low malposition of the umbilical venous catheter and appropriate position of the umbilical arterial catheter.