ON THE COVER Cardiac magnetic resonance imaging was performed on a 24-year-old man with right heart dilation of uncertain etiology on echocardiography. Maximum-intensity projection (A) and volume-rendered 3-dimensional reconstruction (B) images from a gadolinium-enhanced magnetic resonance angiogram demonstrate a rare form of anomalous pulmonary venous drainage. The right superior and inferior pulmonary veins (RPVs) drain via a common trunk into the inferior vena cava (IVC), above the level of the diaphragm. Velocity-encoded phase contrast imaging revealed a pulmonary to systemic flow ratio of 1.9:1. This finding is known from its chest X-ray appearance as a "scimitar vein" and is commonly associated with hypoplasia of the right lung and collateral vessels from the thoracic aorta to pulmonary artery. However, in this case, no additional cardiac, pulmonary, or vascular abnormalities were present. The anomalous RPVs were surgically redirected with a baffle through the atrial septum to the left atrium. Cardiac magnetic resonance imaging enables accurate, noninvasive assessment of cardiac structure and function, vascular anatomy, and shunt quantification, and provides incremental diagnostic value to other noninvasive imaging modalities for the evaluation of unexplained right heart dilation. Images provided by Leighton G. Kearney, MBBS, BMedSci, Maurice Molan, MBBS, Piyush Srivastava, MBBS, Department of Cardiology, Austin Health, Heidelberg, Victoria, Australia