“…Dilatation of the azygos and hemiazygos veins producing abnormal mediastinal or, less often, paraspinal shadows on chest radiographs is well documented and has been reported in portal hypertension with collateral circulation (Leigh et al, 1954;Campbell and Baruch, 1960;Blendis et al, 1968) and congenital and acquired abnormalities of both superior and inferior caval systems (Shuford and Weens, 1958;Bogedain and Carpathios, 1962;Steinberg, 1962;Petersen, 1965;Castellino et al, 1968;Floyd and Nelson, 1976) or it may be idiopathic (Sayer et al, 1954;Schmidt, 1954;Magbitang et al, 1960;Hoffman et al, 1961;Stern and Bloomberg, 1961;Walker, 1963). This dilatation, however, is not usually great, and as it is often accompanied by clinical or radiological evidence of the underlying condition it rarely creates a diagnostic problem.…”