RADIOLOGY: VASCULAR: Case# 32887: POLYSPLENIA WITH AZYGOUS CONTINUATION OF THE INFERIOR VENA CAVA. 22 year old woman with abnormality of the spleen on recent liver spleen scan. Follow-up. The heart is massively enlarged. The liver is also enlarged, with heterogeneous attenuation. This is consistent with passive congestion. The hepatic veins empty into the right atrium. There is azygous continuation of the inferior vena cava. There are four small spleens in the left upper quadrant. The kidneys, adrenals, and pancreas are unremarkable. There is no abdominal adenopathy present.