Background Partial anomalous pulmonary venous connection is a rare congenital vascular disorder that may be asymptomatic. Left-sided connections with the innominate vein are discovered infrequently and those without an atrial septal defect are extremely rare. Case A 66-year-old male was found to have an anomalous left pulmonary vein when a central venous catheter was inserted for management of hypoxemia. In addition to the connection with the left innominate vein an echocardiogram revealed no atrial septal defect. Computed tomography arteriography was used to define the anomaly. Conclusion Left superior vein partial anomalous pulmonary venous connection with the left innominate vein was discovered incidentally on insertion of central venous catheter. The otherwise innocuous anomaly can become a significant variable when treating critical cardiopulmonary collapse.

Abdominal sonography is the most common imaging method used in the detection of ascites. In the presence of cirrhosis, the most likely etiology of ascites is portal hypertension, secondary to the chronic liver disease. A case study is presented of a male with hepatitis C cirrhosis, with symptoms of ascites, which was confirmed with abdominal sonography. Ascitic fluid obtained by paracentesis confirmed the etiology of the ascites was cardiogenic. Significant improvement was documented after heart failure protocol was implemented. Abdominal sonography can detect the presence of ascites with accuracy but lacks the accuracy to diagnose the precise cause.

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