Table 2 Features of PAPVD on chest radiography

• May appear normal

• Unusual course of a central venous catheter

• Focal widening of the mediastinum to the left of the aortic knob

• Unusual patterns of pulmonary oedema

• The Scimitar vein

• Effects of a longstanding shunt - dilatation of the right heart chambers and central pulmonary arteries.

• Cardiac and thoracic associations eg: pulmonary hypoplasia and cardiac dextroposition in Scimitar syndrome.