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A saccular aneurysm arises from the descending branch of each pulmonary. Another large aneurysmal sac with large mural thrombus is seen at the left lingular region likely arising from segmental branch. Nevertheless, there is thrombosed SVC with development of collateral pathways through the prominent azygos/hemiazygos as well as IVC-hepatic veins-internal mammary veins pathoway.