L-R shunt with PAH, bronchial compression:
Six-month-old female with feeding difficulty, irritability diagnosed with VSD, PDA with PAH. Echo demonstrated dilated MPA and VSD, PDA, PAH: (a) Plain radiograph shows moderate cardiomegaly with prominent MPA and proximal RPA (arrows); (b) axial CT image shows grossly dilated MPA and branches (arrows); (c) Coronal MIP CT image demonstrates, grossly dilated RPA; (d) Sagittal MIP images demonstrates severe dilatation of MPA and LPA (arrows); (e) 3D reconstruction of airway shows left bronchial compression(open arrow) by enlarged LPA.