Newborn who did not receive a screening head ultrasound before being placed emergently on ECMO and who is not doing well on ECMO

US of Vein of Galen malformation
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.