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Scimitar syndrome

Imaging findings

Chest CT demonstrates anomalous pulmonary venous drainage where two right-sided pulmonary veins join together to form a single large vein that drains into the inferior vena cava. The right lung shows a single upper lobe bronchial branch and abnormal accessory fissures, with mild right lung hypoplasia.

Key takeaways

Scimitar syndrome (congenital venolobar syndrome) is characterized by anomalous right pulmonary venous return to the IVC, right lung hypoplasia, bronchial anomalies, and anomalous systemic arterial supply. It can be found incidentally in asymptomatic adults.

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