Figure 2.

Chest radiograph of a 9 month-old-male patient with a history of trisomy 21, obstructive sleep apnea, tetralogy of Fallot, pulmonary vascular hypertension, and right dominant atrioventricular canal with parachute left AV valve who had surgical repair at 3 months of age with the placement of Melody valve in the left AV valve position obtained on hospital day 2 at time of transfer to the cardiac intensive care unit with increased airspace opacification in the right upper lobe along with increased right pleural effusion apically and laterally. Persistent perihilar and lower lobe opacities are also noted.