Azygos lobe in a transplanted lung
Shortness of breath post lung transplant for gross bullous emphysema
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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.