Toddler with a murmur

CXR and angiogram of valvular pulmonary stenosis
CXR AP (left) shows prominence of the main pulmonary artery. AP image from a right ventricular injection of an angiogram (above right) shows a dilated main pulmonary artery while the lateral (below right) from the same injection shows doming of the pulmonary valve and a narrow jet of contrast entering the dilated main pulmonary artery.

The diagnosis was pulmonary stenosis at the level of the pulmonary valve.