EURORAD ESR

Case 2457

A double “scimitar sign” of the congenital pulmonary venolobar syndrome

Author(s)
Vafiadis E, Giannopoulos TL, Sidiropoulou M, Dionisiadis E, Palladas P
 
Patient
female, 18 year(s)
 
 
  • Published 03.03.2005
  • DOI 10.1594/EURORAD/CASE.2457
  • Section Chest Imaging
  • Case Type Clinical Cases
  • Difficulty Resident
  • Views 4678
  • Language(s)
  • Figure 1
    Initial radiographs
     

    A P-A chest radiograph. Note the dextropositioned heart, the hypoplasia of the right lung and the two scimitar veins (arrowhead and arrow) coursing through the right lower zone toward the right costophrenic angle.

     
    Area of Interest: unknown; Imaging Technique: Initial radiographs,Initial radiographs;

    A lateral chest radiograph. The two anomalous veins (arrowheads and arrow) clearly projecting in the posterior part of the right lung.

     
    Area of Interest: unknown; Imaging Technique: Initial radiographs,Initial radiographs;
     
     
  • Figure 2
    CT image
     

    A CT scan at mediastinal window settings after a bolus administration of the contrast medium.The scimitar vein (arrow) runs to the dilated inferior vena cava (arrowhead).

     
    Area of Interest: unknown; Imaging Technique: CT,CT;

    A CT scan at lung window settings. The two scimitar veins (arrowheads) before joining to form the anomalous vein which inserts to the inferior vena cava. Note the diminished vasculature of the right lung and the...

     
    Area of Interest: unknown; Imaging Technique: CT,CT;
     
     
  • Figure 3
    CT-A
     

    A reformatted CT-A scan (oblique section). The upper anomalous vein (long arrow) joins the lower vein (short arrow) to form (arrowhead) the major venous draining vein.

     
    Area of Interest: unknown; Imaging Technique: CT-A,CT-A;

    A reformatted CT-A scan (transverse section -- the heart on the bottom and right lung on the left of image). The upper anomalous vein (grey arrow) uniting with the lower vein (white arrow).

     
    Area of Interest: unknown; Imaging Technique: CT-A,CT-A;
     
     
  • Figure 4
    Reformatted MR-A (coronal oblique section)

    The upper anomalous vein and the lower vein (arrowheads) uniting (arrow) can be noted again.

     
    Area of Interest: unknown; Imaging Technique: Reformatted MR-A (coronal oblique section),Reformatted MR-A (coronal oblique section);
     
     
  • Figure 5
    Echocardiography

    The abnormal pulmonary vein (arrow) drains to the intrahepatic level of the inferior vena cava.

     
    Area of Interest: unknown; Imaging Technique: Echocardiography,Echocardiography;
     
     
A P-A chest radiograph. Note the dextropositioned heart, the hypoplasia of the right lung and the two scimitar veins (arrowhead and arrow) coursing through the right lower zone toward the right costophrenic angle.
 
A lateral chest radiograph. The two anomalous veins (arrowheads and arrow) clearly projecting in the posterior part of the right lung.
 
A CT scan at mediastinal window settings after a bolus administration of the contrast medium.The scimitar vein (arrow) runs to the dilated inferior vena cava (arrowhead).
 
A CT scan at lung window settings. The two scimitar veins (arrowheads) before joining to form the anomalous vein which inserts to the inferior vena cava. Note the diminished vasculature of the right lung and the stunted bronchus (arrow).
 
A reformatted CT-A scan (oblique section). The upper anomalous vein (long arrow) joins the lower vein (short arrow) to form (arrowhead) the major venous draining vein.
 
A reformatted CT-A scan (transverse section -- the heart on the bottom and right lung on the left of image). The upper anomalous vein (grey arrow) uniting with the lower vein (white arrow).
 
The upper anomalous vein and the lower vein (arrowheads) uniting (arrow) can be noted again.
 
The abnormal pulmonary vein (arrow) drains to the intrahepatic level of the inferior vena cava.
 
 
 
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