A New “Hump” The American Journal of Medicine

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Presentation transcript:

A New “Hump” The American Journal of Medicine Tahmeed Contractor, MD, Abhimanyu Beri, MD The American Journal of Medicine Volume 123, Issue 8, Pages e7-e8 (August 2010) DOI: 10.1016/j.amjmed.2009.12.037 Copyright © 2010 Elsevier Inc. Terms and Conditions

Figure Panel (A) shows the chest radiograph on presentation with a paratracheal mass (arrow) pressing against the right main bronchus at its takeoff from the trachea; Panel (B) shows the absence of this mass on a radiograph performed 1 year ago; Panel (C) is a coronal section of the contrast-enhanced computed tomographic (CT) scan of the chest demonstrating a dilated azygos vein abutting the right main bronchus (white arrow). Partial situs inversus also is noted with a significant portion of the liver on the left side of the abdomen (black arrow). Panel (D) is a sagittal section of the CT scan re-demonstrating the dilated azygos vein draining into the superior vena cava (white arrow). The hepatic veins drain directly into the right atrium (black arrow). The American Journal of Medicine 2010 123, e7-e8DOI: (10.1016/j.amjmed.2009.12.037) Copyright © 2010 Elsevier Inc. Terms and Conditions