Snowman sign

Case contributed by Ian Bickle
Diagnosis almost certain

Presentation

Patient with total anomalous pulmonary venous return (TAPVR). .

Patient Data

Age: 23
Gender: Female
Annotated image

Snowman image from www.clipartlord.com. (Free for public use and domain).

The shape of the snowman superimposed over the CXR demonstrates the origin of this sign.

CXR image contributed by Dr M Sanal Kumar: http://radiopaedia.org/cases/total-anomalous-pulmonary-venous-return-2

Case Discussion

Snowman sign refers to the configuration of the heart and its superior borders resembling a snowman. This is seen in total anomalous pulmonary venous return (TAPVR) type I i.e. supra cardiac type.

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