Thoughts? 3yr,25lb male, Cushionoid WHWT chronic cough. Sept.CT; alv consolidation vent lobes, mild Br. thickening, diffuse inst. pattern rest of lung parenchyma, mass assoc. R adr. Recent rads; inst. Pattern(on AB’s). R Hrt large. Echo: Mobitz type2 block?, trivial MV and TV reg, LV mildly increased(CI=1.7),LA:AO=wnl, AO=1.5m/s,E:A=1.1,Evel=.93m/s. RV=NAF?,no sig. RV pressure(TVreg 3m/s (poor) RPADI normal,no septal flattening/PSM, PA:AO=NAF).RV outflow was 1.0m/s with some slight notching, no hepatic congestion. Adrenals( brief- needs sed)LAdr= NAF, RAdr=round- no sig TD,1.45cm dia