Features here are of gastroschisis - the differential is omphalocoele where there is a covering membrane. In patients with gastroshisis, a plastic covering is placed over the externalised bowel to stop them from drying out and becoming infected.

Of note is the interval right upper lobe collapse. While this may have been the result of tube movement, there was no such history. Bronchoscopy confirmed that there was an aberant right upper lobe bronchus from the distal trachea (pig bronchus) which had been obstructed by the ET tube which was in a position that would usually be deemed appropriate.