Multiple left to right shunts:
- large perimembranous inlet VSD 21 x 17 mm
- large muscular VSD ahead of the moderator band 24 x 21 mm
- midventricular small VSD 5 x 5mm
- midventricular small VSD 3mm
Enlarged hepatic veins with contrast reflux , enlarged right atrium and right ventricle: features of pulmonary hypertension, due to the shunts in this case.
Main pulmonary artery strapping with post-strapping dilation (29mm), enlarged left and right pulmonary arteries.