This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Pediatrics
True about VSD is all except – 
Select and explain. 
A. Small hole closes spontaneously, B. Defect is usually in membranous part, C. Endocarditis is a common complication, D. Pulmonary Oligemia in chest x–ray
D: Pulmonary Oligemia in chest x–ray
Answer: D: Pulmonary Oligemia in chest x–ray 
Explanation: Chest x-ray in VSD 

Pulmonary vasculature is increased → Pulmonary plethora (not oligemia).
Aorta is normal or smaller
Left atrial enlargement
If defect is small Normal sized heart.
If defect is large → Cardiomegaly.