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Fig. 2A. —18-month-old girl with large perimembranous ventricular septal defect, right aortic arch, and right-sided "absent" pulmonary artery. Posteroanterior chest radiograph shows smaller right lung with decreased pulmonary vascular markings, slight mediastinal shift to right and elevated right hemidiaphragm, absence of ipsilateral pulmonary artery shadow, right aortic arch, and increased vascular markings on left lung attributable to underlying ventricular septal defect.