Most of the thorax is drained by a system of veins called the azygos system, comprising the azygos, hemiazygos, and accessory hemiazygos veins. The azygos vein, just right of the midline and in front of the vertebral column, starts at the junction of the right ascending lumbar and subcostal veins and ends in the superior vena cava. It drains blood from the right side of the thoracic wall, thoracic viscera, and posterior abdominal wall. The hemiazygos vein lies anterior to the vertebral column, left of the midline. It starts at the junction of the left ascending lumbar and subcostal veins, terminating by merging with the azygos vein. It collects blood from the left lower thoracic wall, thoracic viscera, and left posterior abdominal wall. The accessory hemiazygos vein also lies left of the midline and terminates in the azygos vein, draining the left side of the upper thoracic wall and thoracic viscera. Additionally, the left and right brachiocephalic veins merge to form the superior vena cava, draining the head, neck, upper limbs, and upper thorax.