Preterm 28 weeker came to ED with severe respiratory distress

Preterm 28 weeker came to ED with severe respiratory distress. Identify the CXRay and tell be possible diagnosis.

This is cxr ap view with ET tube , OG/NG tube insitu showing Air bronchogram both side with homogenous opacity in both lung field suggestive of stage 3 HMD or severe RDS and also showing 9 ribs bilaterally with clear cp angle and gas shadow under left dome of diaphragm (stomach) .

go through question…preterm with severe respiratory distress…common differential?

Amit Kumar Tracheo esophageal fistula?

Its et tube and feeding tube is inside stomach…read xray carefully