Azygos fissure effusion
Shortness of breath
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Pleural effusion is seen on right side obscuring right hemidiaphragm and tracking along the right lateral chest wall extending into azygous fissure.
Azygos lobe can be seen on chest x ray as fine, convex line giving tear drop appearance. It extends from lateral aspect of vertebral body posteriorly, to the superior vena cava anteriorly.
There is pleural effusion on right side of above shown chest x ray which is extending into the azygos fissure. This patient underwent ultrasound guided pleural tap. No further imaging was done.