Multiple gas-filled bowel loops and the gas-filled stomach are seen herniated into the left hemithorax causing mass effect and mediastinal shift to the right. The left hemi-diaphragm is not visualised. There is diffuse compression of the right lung. The left lung is barely visualized on this exam. These findings are consistent with a congenital left diaphragmatic hernia (CDH).
The OG tube (orogastric tube) (yellow arrow) is seen terminating in the expected region of the GE junction. The ETT (green arrow) terminates at T3 level and is well above the carina.
The venoarterial (V-A) circuit ECMO catheters are visualized in the right neck. The venous cannula (blue arrow) courses through the right internal jugular vein. Adjacent to the venous cannula is the arterial cannula (red arrow) which courses through the right common carotid artery.
There is extensive diffuse edema of the soft-tissues. A (low) UAC (Umbilical arterial catheter) is seen terminating at L3 level in an appropriate position.