PLAIN RADIOGRAPHIC DIAGNOSIS OF CONGENITAL HEART DISEASE
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A. PA chest radiograph shows a globular shaped heart with widened superior mediastinum with an ovoid mass within the right middle lobe. This patient had anomalous left pulmonary veins which formed a venous confluence, crossed the midline and drained into a "pulmonary varix" prior to draining anomalously into the right superior vena cava. This patient also had heterotaxy syndrome with a common atrium.