Systolic and diastolic murmurs in a child with mild valvar pulmonic stenosis

Phonocardiogram recorded at the left upper sternal border in a 3-year-old child with mild valvar pulmonary stenosis (peak Doppler systolic gradient 15 mmHg) and mild pulmonary regurgitation. There is a variable soft early ejection click, systolic murmur, and diastolic murmur.