Steeple sign

The steeple sign (also called wine bottle sign) refers to tapering of the upper trachea on a frontal chest radiograph reminiscent of a church steeple. The appearance is suggestive of croup, which should be obvious clinically. A corresponding lateral x-ray would show narrowing of the subglottic trachea and ballooning of the hypopharynx. 


Chest x-ray
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Article Information:

rID: 5608
Section: Signs
Synonyms or Alternate Spellings:
  • Wine bottle sign
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    Figure 1: steeple of Salisbury cathedral
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    Croup - Steeple S...
    Case 1: croup with steeple sign
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    Case 2
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    Case 3
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