An 11-month-old boy came to medical attention after a heart murmur was detected during a routine physical examination. He was referred to our institution for evaluation of abnormal chest roentgenographic findings (Fig 1). The pregnancy and perinatal course were normal and the patient had no history of cyanosis or serious childhood illness. At presentation the boy had developed normally and was active and acyanotic. A ventilation-perfusion scan (Fig 2) and a right ventriculogram (Fig 3) were obtained.
The Editors welcome contributions to Picture of the Month and Radiological Case of the Month. Those who wish to contribute should send their manuscripts to Dr Feingold (Picture of the Month), National Birth Defects Center, Franciscan Children's Hospital, 30 Warren St, Brighton, MA 02135, or Dr Wood (Radiological Case of the Month), Department of Radiology, Childrens Hospital of Los Angeles, 4650 Sunset Blvd, Los Angeles, CA 90027. Articles and photographs accepted for publication
Coughlin WF, Harper RT, Hatch R, Wood BP. Radiological Cases of the Month. Am J Dis Child. 1990;144(3):339–340. doi:10.1001/archpedi.1990.02150270089031
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