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The azygous lobe of the lung is an uncommon developmental anomaly. Its surgical importance is hardly being described in literature. Here, we are presenting a case of lung cancer with incidental azygous lobe, with its surgical relevance during lung cancer surgery.

A n 18-year-old boy was accidentally shot with an airgun by a friend while playing at home. He was seen in the casualty unit at Leeds General Infirmary, Leeds, UK. A penetrating ocular injury, with a traumatic cataract and vitreous haemorrhage, was observed. A complex trans-oculofacial injury was confirmed by a computed tomography scan (fig 1). The risks of infection and lead intoxication were not marked with retained intranasal air pellet, and no further endoscopic exploration was undertaken. A primary ocular surgical repair was performed with a lens aspiration, followed by surgery for retinal detachment. Air weapons are an important cause of serious eye injuries in adolescent boys. A survey by the British Ophthalmic Surveillance Unit raised questions regarding airgun use.1 The UK Government has changed the legislation recently to deal with increasing public concerns over airgun misuse. Despite new legislation, airgun pellets remain a cause of sight-threatening ocular injury. An unusual fracture of the scapular body F ractures of the scapula are infrequent; they constitute 3-5% of all shoulder girdle injuries and 1% of all fractures. Fractures of the scapular body/spine make up 50% of scapular fractures. 1A 36-year-old man fell off a horse and sustained a direct injury to the shoulder. On examination, the patient had a prominence over the inferior angle of the scapula with restricted range of movement of the shoulder, especially protraction and retraction of shoulder. Radiographs revealed an unusual fracture of the body of the scapula with an apex anterior angulation of 40˚on the scapular Y view.Scapulothoracic movement is complex and has six movements: elevation, depression, upward rotation, downward rotation, protraction and retraction and they are an important part of the movements of the shoulder girdle. Alhough most scapular body fractures are treated conservatively, fracture malunion can have adverse mechanical and functional effects on shoulder movement.1 Scapular snapping syndrome is one of the problems that could arise from malunion. Accident and emergency staff need to be aware of these complications and the importance of ordering scapular Y views. These fractures would merit an early orthopaedic referral.

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