Newborn who did not receive a screening head ultrasound before being placed emergently on ECMO and who is not doing well on ECMO Coronal and sagittal US of the brain shows a high flow vascular structure in the region of the median prosencephalic vein. A bruit was subsequently noted in this area. The diagnosis was Vein of Galen malformation, which is a contraindication to being placed on ECMO.