CT
Axial C+ arterial phase
Axial C+ arterial phase
Sagittal C+ arterial phase
Coronal C+ arterial phase
Cardiovascular findings:
- heart is positioned within the right hemithorax with its apex directed towards the right.
- morphologic left atrium is positioned posteriorly with the morphologic right atrium located on the left
- all pulmonary veins drain into the morphologic left atrium
- left-sided superior and inferior vena cavae draining into the morphologic right atrium
- pulmonary atresia with the confluent pulmonary arteries supplied by a vessel arising from the aorta (possibly a tortuous patent ductus arteriosus or a major aortopulmonary collateral artery)
- stenosis at the proximal segment of the right pulmonary artery
- the dilated ventricle on the right side is more trabeculated with a moderator band reflective of right ventricular morphology
- aorta arising from the morphologic right ventricle
- right-sided aortic arch and descending aorta
- small morphologic left ventricle positioned to the left of the morphologic right ventricle
- ventricular septal defect
Visceral situs inversus:
- hyparterial bronchus is in the right while the eparterial bronchus is in the left
- left-sided liver
- right-sided stomach and spleen
Other findings:
- atelectatic changes in the right lung and left upper lobe
- endotracheal and feeding tubes are seen in place