4700 gram newborn with difficult vaginal delivery and mild meconium aspiration. Noted to have brachial plexus palsy and transient Horner's Syndrome at birth. Extubated after few hours, but then had progressive respiratory failure and was re-intubated at approximately 2 days of life. Chest X-ray for ET placement showed elevated right hemidiaphragm. The same baby after plication of the diaphragm at age 6 weeks.
Chest tube is still in place.
You may also note small residual pneumothorax at right base and atelectasis of right upper lobe.