Presentation
Known case of cyanotic congenital heart disease with shortness of breath
Patient Data
Age: 15 years
Gender: Male
From the case:
Total anomalous pulmonary venous return
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Frontal

There is cardiomegaly with an abnormal ovoid density at the superior mediastinum resulting to a "snowman" or "figure of 8" appearance of the cardiomediastinal shadow on frontal projection.
Increased pulmonary vascularity (pulmonary plethora) is also demonstrated.
From the case:
Total anomalous pulmonary venous return
Annotated image

Case Discussion
These are chest radiographs of a diagnosed case of supracardiac type total anomalous pulmonary venous return.