 Greetings everyone, I am Dr. Shefali from Sheyeguru Ram Rai Institute of Medical and Health Sciences, Deeradu. Today I am presenting a case of 14 years old female with a rare try-off congenital anomalies. So starting with the first one is the bronchopulmonary sequestration. It is the abnormality of the respiratory tract consisting of aberrant formation of non-communicating segmental lung tissue with an incidence of 0.15 to 1.8 percent. It is also a rare congenital anomaly with transposition of the thoracic and or the abdominal viscera. Third in line was Pectus excavatum. It is the most common anterior chest wall deformity characterized by concave depression of sternum and anterior ribs. The presence of an intralobar pulmonary sequestration along with extracardia and Pectus excavatum is a rare occurrence with the possibly undefined histrogenetic association only being sparingly published as a case report in the past. Discussing the case, a 14-year-old female came to the hospital with complaint of hemopsis since last 10 days. She also had past history of recurrent chest infections on examination, caved in appearance of anterior chest wall was seen with decreased ear entry on left side in the infrascapular region. A chest radiograph was done which revealed extracardia with the left lower zone consolidation So, here is the shextax ray. In the yellow arrow is the cardiac border with its apex towards right side representing extracardia and a homogenous opacity was noted in left medallore lung zone along the left little chest wall. After this, the patient underwent C-C-T thorax, the findings of which were as follows. Here is the axial-CP section of the same patient. In this one section, we can see all the three-year congenital anomalies representing by the blue arrow is the incursion of the sternum into the mediascinum, suggestive of pectus excavatum, green arrow representing the cardiac apex on the right side showing extracardia, then by the yellow arrow is represented heterogeneously enhancing lesion in posterior basal segment of left lower loom. Coronal sections of the same patient was taken and the findings are as follows. Here we can see cardiac apex on right side represented by violet arrow, but the abdominal viscera that is the liver represented by red arrow and the spleen represented by yellow arrow on their respective right and left sides that is the normal sides, ruling out Cytus inversus totalis, then by the green arrow is represented the same area, the heterogeneous area in left lower loom which is along the left coastal pleura and is also in contact with the left dome of the diaphragm. Also we can see some feeding vessels which are supplying this area, these feeding vessels seem to arise from a branch of abdominal aorta. On the same patient we constructed three dimensional volume rendering images, here we can clearly see an arterial feeder of the interlobar sequestration that is arising from the branches of celiac trunk that is the branch of the abdominal aorta. So through these pictures we came to know that cardiac apex was seen towards right side with no pulmonary hyperplasia or abnormality in the visualized sections of abdomen, failure's index of the patient was more than 3.5 with sternal torsion angle of less than 30 degrees, suggestive of Pectus excavatum, the patient was managed conservatively and was then referred to ocarthothoracic surgeon for the further management. So bronchopulmonary sequestration is characterized by non-functioning pulmonary parenchanal comprising of normal lung elements which are arranged in disorderly manner. It may or may not be connected to the tracheobronchial rate when such a communication exists, repeated infections are very common. Also it is of two types, it may be interlobar or extralobar depending on whether it is inside the pleura or outside the pleura. The most common site for PPS is the left lower low irrespective of whether it is intra or extralobar. The definitive treatment of pulmonary sequestration is surgical resection. Congental anomalies are more associated with extralobar sequestration which is seen in approximately 50% of the cases but are very rare in intralobar type which was present in our case. Next is the textuocardia, textuocardia can present as an isolated anomaly or may be associated with pulmonary hypoplasia or cartagena syndrome, however no such association was found in our patient. Then Pectus excavatum, it is more common in males and is occasionally associated with mitral valve prolapse, restrictive pulmonary physiology and defective cardic functions whereas in our patient Pectus excavatum presented just as a cosmetic defect totally. So concluding my case, we present a rare case of combined interlobar bronchopulmonary sequestration with an atypical feeder from branch of the abdominal aorta that is the celiac trunk with textuocardia and Pectus excavatum. References for the scene. Thank you.