Accessory right inferior hepatic vein

Discussion:

There is incidental identification of accessory right inferior hepatic vein which is a normal variant of hepatic veins, being the most common. It drains the posterior part of the right lobe (mainly segments VI and VII) directly into the inferior vena cava. Other venous variants shown are the infrarenal duplicated Inferior vena cava and azygos continuation.

The dilated pulmonary artery could suggest pulmonary hypertension justifying dyspnea along with possible infection, further echocardiography was recommended.

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