Presentation
NICU admission x-ray.
Patient Data
Age: 3 days
Gender: Female
From the case:
Pulmonary atresia with intact interventricular septum
Frontal

Marked enlargement of the cardiac silhouette. No pulmonary plethora. No focal consolidation, collapse or pleural effusion. Nasogastric tube tip projects in the region of the gastro-esophageal junction.
Case Discussion
These findings are non-specific for the particular type of congenital heart disease. Echocardiography demonstrated pulmonary atresia with intact interventricular septum as the underlying cause for cardiomegaly. Not in this case but there is sometimes pulmonary plethora.