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Fig. 1A. —58-year-old man with systemic-to-pulmonary venous shunt. Helical CT scan shows tight stenosis of superior vena cava (curved arrow) and obstruction of distal part of left innominate vein (open arrow) caused by tumor encasement (T). Mediastinal venous network is densely opacified (small white arrows). Note opacification of azygos vein (thick white arrow), accessory hemiazygos vein (arrowhead), and perivertebral plexus.





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