Classical CXR signs of congenital cardiovascular abnormalities

  1. Boot shaped heart: Tetralogy of Fallot (TOF)
  2. Box shaped heart: Ebstein’s anomaly
  3. Figure of 3/ Reverse figure of 3: Coarctation of aorta
  4. Inferior rib notching: Coarctation of aorta
  5. Egg on string/ Egg on side appearance: Transposition of great arteries (TGA)
  6. Goose neck sign: Endocardial cushion defects
  7. Scimitar sign: Partial anomalous pulmonary venous connection (PAPVC)
  8. Figure of 8/ Snowman appearance: Total anomalous pulmonary venous connection (TAPVC)


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