Azygos lobe in a transplanted lung

Case contributed by Dr Chris O'Donnell

Presentation

Shortness of breath post lung transplant for gross bullous emphysema

Patient Data

Age: 60 years
Gender: Male
X-ray

Typical azygos fissure (arrows) for the aberrant azygos vein except in this case there is no triangular soft tissue density at the lower medial aspect of the fissure (normally seen in azygos lobe) as the vein is absent having been excluded from the resected donor lung prior to transplant.

Chest radiograph performed 2 years prior (second image) showing gross bullous emphysema especially in the right upper lobe and no azygos fissure.

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Case information

rID: 33399
Published: 11th Jan 2015
Last edited: 14th Aug 2019
System: Chest
Inclusion in quiz mode: Included

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