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Scimitar Syndrome

Imaging findings

A classic linear opacity on chest X-ray in the right lung extending toward the hemidiaphragm. CT confirms a scimitar vein draining the majority of the right lung into the supra-diaphragmatic IVC, with compensatory right-sided heart chamber enlargement and features of pulmonary hypertension.

Key takeaways

Scimitar syndrome is characterized by partial or total anomalous pulmonary venous return to the IVC. The patient's age (80s) and symptom profile are often driven by long-standing hemodynamic changes such as pulmonary hypertension.

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