1. Two disc-shaped radio-opaque structures with two radio-opaque dots can be visualized in the cardiac silhouette in the region of the ventricular septum (seen best in AP scoliosis study, images #3 and #4), consistent with a VSD occlusion device. Additionally, there are multiple small sternotomy sutures and surgical clips in the left perihilar region.
2. Mild cardiomegaly with suggestion of right ventricular hypertrophy. No pulmonary vascular congestion.
3. Stable mild levoconvex upper thoracic scoliosis, hypoplastic right 1st rib and partial fusion anomaly of the left 4th and 5th ribs are stable.
4. Mild bilateral peribronchial thickening. No discrete focal pneumonia, pleural effusion or pneumothorax.
5. The upper abdomen appears normal.