%0 Case Reports %T Case of Isolated Absence of the Azygos Vein: Evaluation Using Photon-counting Detector CT. %A Kameda S %A Ichikawa T %A Kawada S %A Nagafuji Y %A Togawa K %A Ishii M %A Iwata K %A Kobayashi M %A Machida H %A Hashimoto J %J Tokai J Exp Clin Med %V 49 %N 2 %D 2024 Jul 20 %M 38904236 暂无%X The isolated absence of the azygos vein was incidentally found on computed tomography (CT) examination in a 60-year-old female. The exact anomaly can be evaluated on high-resolution images of 0.4-mm slice thickness with low keV using photon-counting detector CT. The azygos vein, including the azygos arch, was absent, and a mildly dilated hemiazygos vein flowed to the left brachiocephalic vein through the left superior intercostal vein. A hemiazygos vein connected the left renal vein at the level of the first lumbar vertebra. This patient was the second patient to undergo evaluation using volume rendering images. High-resolution maximum-intensity projection images were useful for assessing the anatomy. Radiation dose was decreased compared with that in conventional CT.