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Anatomic variant of right lung abutting the ascending aorta

Imaging findings

CT scan shows the right upper lobe lung directly contacting the right lateral margin of the ascending aorta, which is a normal anatomical variant.

Key takeaways

Normally, mediastinal fat, the SVC, and the right atrial appendage prevent direct contact between the right lung and ascending aorta. Appreciating this normal variant is important to prevent misinterpreting it as pathology.

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