Intubated child with a malpositioned umbilical arterial catheter (inferiorly looped catheter in right internal iliac artery with its tip facing inferiorly) and malpositioned umbilical venous catheter (possibly in left portal vein with its tip directed posteriorly and to left).
Also noted are pneumomediastinum (Angel wing sign; displaced lobes of thymus glands by air) and left pneumothorax.
A nasogastric tube is noted in situ.