Newborn with respiratory distress, a heart murmur and a head bruit

US of vein of Galen malformation
Coronal grayscale US of the head (above left) shows a large round hypoechoic structure in the midline between the posterior horns of the lateral ventricles and above the cerebellum on the sagittal grayscale US (above right) which on color doppler (below) has turbulent blood flow within it.

The diagnosis was Vein of Galen malformation.