The X-ray provided in the question is used to identify specific cardiac conditions by examining characteristic features. In the context of the options given, let's break down each one:
- TGA (Transposition of the Great Arteries): This condition typically presents with a normal or egg-shaped heart configuration, often requiring more advanced imaging to diagnose correctly, rather than just an X-ray.
- TOF (Tetralogy of Fallot): This is characterized by a "boot-shaped" heart due to right ventricular hypertrophy and other structural abnormalities. This distinct shape is a key feature that can be observed in an X-ray, making TOF identifiable in this context.
- Ebstein's anomaly: This is characterized by an enlarged heart (cardiomegaly), but the shape is more globular and not specific like the "boot-shape" seen in TOF.
Considering these features, the only condition clearly identifiable by an X-ray with a distinct heart silhouette (boot-shaped) is TOF (Tetralogy of Fallot). Therefore, the correct answer is TOF.