Newborn with respiratory distress

UGI of esophagotrachea
CXR AP (left) shows the endotracheal rube tip in the midline to be low in position while the nasogastric tube tip projecting to the left of it is high in position. AP image from an esophagram obtained after the nasogastric tube had been advanced into the distal esophagus (above right) shows simultaneous opacification of the trachea in the midline and the bilateral mainstem bronchi along with esophagus to the left of the trachea. Lateral image from the esophagram (below right) shows the communication between the esophagus and trachea to be long in length.

The diagnosis was esophagotrachea.