School ager with hypoxia who has Eisenmenger syndrome due to a ventricular septal defect and a brain abscess

CXR and CT of septic emboli in the lungs / septic pulmonary emboli
CXR AP (above) shows prominence of the central pulmonary arteries and multiple round lesions of varying size throughout both lungs which on the axial CT with contrast of the chest (below) are shown to have indistinct margins.

The diagnosis was septic emboli in the lungs in a patient with Eisenmenger syndrome.