CT - ECG Gated CTA
Axial C+ arterial phase
Coronal C+ arterial phase
Sagittal C+ arterial phase
Left superior pulmonary vein drains into brachiocephalic(innominate) vein, creating a left to right shunt(consistent with supracardial type PAPVR). Right heart is enlarged. Single accessory right middle pulmonary vein is noted. Some fibrotic changes predominantly in posterior segments of both lung.