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IMAGES IN MEDICINE A 34-year-old male came to our hospital for a routine master health check up. He was apparently normal and had no significant history. His chest X-ray postero anterior (PA) view showed a curvilinear radioopaque shadow in the right, mid and lower paracardiac location, coursing towards the diaphragm [Table/Fig-1]. A preliminary diagnosis of scimitar sign was made and a CT pulmonary angiogram was performed to confirm the diagnosis and to identify the extent of the vascular anomaly and any associated anomaly. It revealed an anomalous right superior pulmonary vein draining into the inferior vena cava [Table/Fig-2]. All the other pulmonary veins were draining normally into the left atrium. The pulmonary arteries were normal. There was no associated lung hypoplasia, sequestration or any R ad io lo g y S ec tio n A Rare Case of Isolated Partial Anomalous Pulmonary Venous Connection to the Inferior Vena Cava