Presentation
Shortness of breath.
Patient Data
Age: 15 years
Gender: Male
From the case:
Azygos fissure effusion


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Info

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.