Newborn with abnormal prenatal cardiac ultrasound

CXR and CT of main pulmonary arterial aneurysm due to absent pulmonary valve syndrome
CXR AP (above) shows an abnormal and prominent contour to the left superior mediastinum. The right superior mediastinum contour represents the thymus. Coronal CT with contrast of the chest (below) shows aneurysmal dilation of the main pulmonary artery. The pulmonary valve was absent.

The diagnosis was main pulmonary arterial aneurysm due to absent pulmonary valve syndrome.