From the case: Pulmonary interstitial emphysema
first image after placement of tubes and lines and administration of dose of Surfactant. Tubes and lines: tip of the ET tube in right main bronchus, deep position of the umbilical arterial catheter (at T2) level, deep position of the umbilical venous catheter (high right atrium). Lungs are mildly hypo-inflated. There is bilateral diffuse hazy opacities in the lungs. Absence of typical surfactant deficiency findings ( low volume lungs and granular appearance of the lungs) is due to surfactant administration before taken the image.