Fig. 1

5 years old girl with classic TOF (TOF/PS) with clinical history of cyanosis. A MPR sagittal image showing marked sub-valvular (infundibular) RVOT stenosis. B Oblique reformatted image showing Overriding aorta (equal to both ventricles), ventricular septal defect (VSD), dilated ascending aorta and hypertrophied right ventricular wall. C Axial MIP image showing distal MPA stenosis and right RPA ostial stenosis. Note Anomalous LAD seen arising from RCA and crossing RVOT. D Oblique reformatted MIP image showing thickened pulmonary valve leaflets (valvular stenosis) as well as distal MPA and RPA ostial narrowing. E Oblique reconstructed MIP image showing PFO and dilated RA. F MPR axial image showing close wise rotation of the aortic root with pre-pulmonic LAD seen originating from RCA and crossing RVOT in addition to another one originating from LM (Dual LAD). G VR image anterior view showing Dual LAD with pre-pulmonic LAD seen originating from an ectatic RCA and crossing RVOT in addition to the one originating from LM. H VR image posterior view showing RPA ostial narrowing. Note left vertebral artery seen arising from aorta (arrow). I VR image of RVOT and pulmonary arterial tree showing distal MPA stenosis and RPA ostial narrowing. Note anomalous LAD from ectatic RCA seen crossing RVOT