The steeple sign (also called the wine bottle sign, and inverted V sign ), refers to the tapering of the upper trachea on a frontal chest radiograph reminiscent of a church steeple, suggestive of croup. A corresponding lateral x-ray would show narrowing of the subglottic trachea and ballooning of the hypopharynx. References Incoming Links steeple sign (also known as "wine bottle sign" and "inverted V sign"): seen on AP radiographs of the neck or chest and neck demonstrates uniform narrowing of the subglottic airway distension of the hypopharynx is also seen due to the patient's attempt at decreasing airway resistance.
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