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Systemic Arterial Supply with Hypoplastic Right Lung

Imaging findings

Imaging revealed a right lower lobe anomaly with a systemic arterial branch originating from the aorta and anomalous venous drainage to the left atrium. The lung was hypoplastic, and there was an associated diaphragmatic defect. The findings closely mimicked Scimitar syndrome but lacked the classic anomalous venous drainage to the right atrium.

Key takeaways

Systemic arterial supply anomalies, when associated with diaphragmatic defects and hypoplastic lungs, can mimic Scimitar syndrome. Careful vascular analysis is essential for identifying these distinct, often complex, developmental anomalies.

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