Presentation
Biopsy proven peripheral cholangiocarcinoma. Patient attends for completion staging with CT chest.
Patient Data
Age: 60 years
Gender: Male
From the case:
Double superior vena cava
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Contrast administered via a cannula in the left forearm.
Duplicated superior vena cava.
The normal right side poorly opacified due to preferential filling from the left - the side of the cannula.
The aberrant left SVC drains into the right atrium.
NB. The known cholangiocarcinoma is observed in the liver.
Case Discussion
Superior vena cava duplication - an anatomical variant.
In this case an incidental finding - staging CT of chest for biopsy-proven cholangiocarcinoma.