Three-dimensional CT scan showing a left Sprengel shoulder and highlighting the abnormal shape, position, and orientation of the scapula. It resembles an ‘equilateral triangle’ and there is no long medial border. No bony omovertebral bar is seen and there are no anomalies of the cervical spine. Excision of the superomedial corner of the scapula in the base of the neck can improve the cosmetic appearance.