CXR AP at 1 hour of life (above) shows the endotracheal tube and mediastinum to be shifted to the right by a large mass in the left hemithorax. The endotracheal tube tip is at the level of the carina. CXR AP at 2 hours of life (below left) shows the large mass in the left hemithorax to now consist of multiple thick walled air bubbles that are causing further mediastinal shift to the right. CXR AP at 3 hours of life (below right) shows even more thick walled air bubbles in the left hemithorax resulting in even more mediastinal shift to the right.
The diagnosis was left sided congenital diaphragmatic hernia that is filled with loops of small bowel that are filling with air over time.
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