Vertical transmission of the COVID-19 virus from mother to fetus seems to be uncommon, but, the immunological response of the neonates exposed to maternal infection in-utero, needs further research. The hyperinflammatory state of Multisystem inflammatory syndrome in children (MIS-C) predisposes to thromboembolic complications, including pulmonary thromboembolism (PTE). We report a neonate who had multiple cavitary lesions in lung, which we suspect could be a manifestation of MIS-N following maternal COVID-19 infection during pregnancy.