DOI: https://doi.org/10.36347/sjmcr.2026.v14i08.044

Pages: 1941-1943

Scimitar syndrome is a rare congenital pulmonary venolobar anomaly characterized by partial anomalous pulmonary venous return of the right lung into the inferior vena cava, frequently associated with right lung hypoplasia and cardiac malposition. We report the case of a 39-year-old woman presenting with intermittent dysphonia and dyspnea. Laryngeal dysplasia was detected following endoscopy with biopsy. Cervicothoracic CT and contrast-enhanced CT angiography demonstrated imaging features consistent with scimitar syndrome, including anomalous right pulmonary venous drainage into the inferior vena cava, right lung hypoplasia, and dextroposition of the heart. This case highlights an adult presentation of a typically pediatric congenital anomaly and underscores the central role of CT angiography in diagnosis.