A classic radiographic diagnosis. Challenge yourselves #radres and #futureradres? You can bet if I'm asking, it has something to do with the 🫀 or the flow of🩸!! 
Here's a coronal reformat from an MRA from the same patient, which provides some insight.
And now the physiology that explains the anatomy. Does this help clarify the disease process and the findings on radiograph #radres #futureradres? What do you see? @NASCISociety @thoracicrad @RSNA @SMRAngio @SCMRorg @UCSDHealth @UCSDCardFellows @ACHD_SanDiego
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