AP supine and lateral X-rays taken of 8 day male neonate born at 29+3 weeks, presenting with abdominal distention and worsening metabolic acidosis. X-rays demonstrate necrotizing enterocolitis with perforation, and resulting pneumoperitoneum (seen as the football sign on AP view with visible falciform ligament, and elucidated on lateral film). This child was transferred to a tertiary neonatal center for follow up care.