School ager with osteomyelitis of the left lower extremity

CXR and CT of pulmonary arterial aneurysm
CXR PA (above left) shows a large, round lesion projecting to the right of the heart while the lateral (above right) shows it to be located posteriorly in the chest. Coronal (below left) and axial (below right) CT with contrast of the chest shows the distal right main pulmonary artery to be aneurysmally dilated.

The diagnosis was right pulmonary arterial aneurysm.