L1B had the second highest incidence with a rate of 25.6%, and in this variation, a lingular
vein drained into the proximal inferior PV, and these two veins drained into the superior PV and opening into the left atrium.
HRCT chest revealed bronchiectatic changes in bilateral lower lobes of right middle lobe and left lingular
segments and situs inversus total is with spleen on right side and liver on left side.
Another finding was an accessory lingular
vein (Figures 2 and 3).
In this case, PCR/ESI-MS detected a human enterovirus from the right middle lobe and left lingular
segment BAL fluid samples.
Chest CT scan revealed one nodular defined lesion in the inferior lingular
lobule of the left superior lung, measuring 12 mm (Figure 2).
Thoracal HRCT which was performed in terms of bronchiectasis revealed tubular bronchiectasis which was central in the superior segments in the lower lobes of both lungs and peripheral in the posteror basal segment of the lower lobe in the left lung, millimetric nodular centrilobular involvement in the medial segment of the middle lobe in the right lung and in the posteror basal segments of the lower lobe in the left lung and pleural retractions in the lateral basal segment of the lower lobe in the right lung and in the inferior lingular
segment of the left lung (Picture 3).
His chest X-ray showed a patchy nonhomogeneous opacity consistent with pneumonia in the lingular
division of the left upper lobe (Figure 2).
A computed tomography pulmonary angiogram revealed a single small cavitating lesion of the lingular
lobe with diffuse loci of consolidation in the right middle and upper lobes, consistent with an embolic phenomenon.
The chest radiograph revealed a left upper lobe lingular
segment opacification and she was treated with antibiotics for 10 days for suspected pneumonia with associated atelectasis without response.