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Azygos fissure effusion

Case contributed by Pir Abdul Ahad Aziz Qureshi
Diagnosis certain

Presentation

Shortness of breath.

Patient Data

Age: 15 years
Gender: Male
x-ray

Pleural effusion is seen on right side obscuring right hemidiaphragm and tracking along the right lateral chest wall, extending into azygos fissure.

Case Discussion

Azygos lobe can be seen on chest x-ray as a fine, convex line giving teardrop appearance. It extends from lateral aspect of vertebral body posteriorly, to the superior vena cava anteriorly.

There is a pleural effusion on the right side of the above-shown chest x-ray which is extending into the azygos fissure. This patient underwent an ultrasound-guided pleural tap. No further imaging was done.

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