A case is reported in which the abnormal course of a pulmonary vein wa
s suggested by computed tomography and confirmed by digital subtractio
n angiography, The vein drained blood from the right middle lobe into
the apical pulmonary vein, This abnormality was probably due to abnorm
al segmentation of the right lung, Comparable cases have been reported
in the literature, It is important to distinguish these benign lesion
s from more complex malformations because of the therapeutic and progn
ostic implications, The radiologic findings of this case and a systema
tic overview of pulmonary vein abnormalities is provided.