Interpreting neonatal chest X-rays requires expertise in neonatal anatomy and pathophysiology: 1. Lung Fields: Assess for uniform lung expansion, infiltrates, or hyperinflation. 2. Heart Size and Shape: Look for cardiomegaly or abnormal heart contours. 3. Diaphragm Position: Evaluate for elevation or flattening, which can indicate respiratory distress or hernia. 4. Bones: Check for fractures or congenital skeletal anomalies. 5. Lines and Tubes: Confirm proper placement of medical devices.