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Empty Azygos Fissure Post-Lung Transplant

Imaging findings

Chest radiograph and CT show a persistent azygos fissure line on the right, but the azygos vein is absent from its base, representing an empty azygos fissure. The patient is post-lung transplantation.

Key takeaways

An empty azygos fissure occurs when the azygos vein is displaced from the fissure. This can be seen after lung transplantation when the donor lung has an azygos lobe, but the donor's azygos vein is left behind.

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