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Volume 355:1283-1284 September 21, 2006 Number 12
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Medical Mystery: Abnormal Chest Film — The Answer

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by Turkington, J.R.A.
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To the Editor: The medical mystery in the July 27 issue1 involved a chest film (Figure 1A) showing cardiomegaly and a left-sided pacemaker, the leads from which took an unusual course through the mediastinum, to the left of the midline. A persistent left-sided superior vena cava was suspected. A right-sided paratracheal soft-tissue density was also present (Figure 1A, arrowheads). Contrast-enhanced computed tomography (CT) showed that this density was caused by a right-sided aortic arch and not by an aortic-arch aneurysm (Figure 1B, arrow). An aberrant left subclavian artery arising from a dilated diverticulum of . . . [Full Text of this Article]



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