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 azygos fissure.
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.