Day: December 28, 2023

Newborn with respiratory distress

CXR and CT of infracardiac total anomalous pulmonary venous return
CXR AP (above) shows mild cardiomegaly with marked pulmonary vascular congestion. Coronal CT MIP with contrast of the chest (below left) shows the pulmonary veins from both lungs draining into the vertical vein which crosses the diaphragm and then narrows as it connects to the dilated ductus venosus which then drains into the inferior vena cava. This is better demonstrated on the 3D CT (below right).

The diagnosis was infracardiac total anomalous pulmonary venous return.