from the wiki page i posted
"The species may show red spotting and a bluesih green dorsal overcast when mature and when aroused exhibits a black operculum spot. Characteristic of this species is an acute incision or notch above the nares (supraorbital indention). All true Orinoco Altum specimens show this trait, whereas commercial hybrids product of crosses to Pterophyllum scalare, that are occasionally performed by breeders to sell them as "Orinoco Altum", may not exhibit the trait or it may appear in a lesser degree."
should be easy to tell on mature fish