Newborn with respiratory distress

CXR of normal position of arterial venous ECMO catheters
CXR AP shows multiple loops of small bowel that are minimally filled with air in the lower left hemithorax. There is mediastinal shift to the right. The tip of the arterial canula placed from the right carotid artery projects over the aortic arch while the tip of the venous canula placed from the right internal jugular vein projects over the right atrium. There are two chest tubes in the right hemithorax.

The diagnosis was normal position of the arterial canula and venous canula in a patient on extracorporeal membrane oxygenation due to left congenital diaphragmatic hernia.