diff --git a/litellm/proxy/health_endpoints/backlog_health.py b/litellm/proxy/health_endpoints/backlog_health.py
index 7bc1f207e1a..367e28474c1 100644
--- a/litellm/proxy/health_endpoints/backlog_health.py
+++ b/litellm/proxy/health_endpoints/backlog_health.py
@@ -37,8 +37,6 @@ class BacklogHealth:
         queue_regex = re.compile(r"(?:^|\s)(\d+)/(\d+)/(\d+)(?:\s|$)")
 
         for line in output.splitlines():
-            if "LISTEN" not in line:
-                continue
             if not port_regex.search(line):
                 continue
             queue_match = queue_regex.search(line)
diff --git a/tests/test_litellm/proxy/health_endpoints/test_health_endpoints.py b/tests/test_litellm/proxy/health_endpoints/test_health_endpoints.py
index 81ea6c12ebf..98670a242e7 100644
--- a/tests/test_litellm/proxy/health_endpoints/test_health_endpoints.py
+++ b/tests/test_litellm/proxy/health_endpoints/test_health_endpoints.py
@@ -502,6 +502,18 @@ tcp4       2/0/128      *.4000               *.*                    LISTEN
     assert result["listen_queue_max"] == 128
 
 
+def test_parse_macos_netstat_listen_queue_two_column_format():
+    sample_output = """Current listen queue sizes (qlen/incqlen/maxqlen)
+Listen         Local Address
+3/0/128        *.4011
+"""
+    result = BacklogHealth.parse_macos_netstat_listen_queue(
+        output=sample_output, port=4011
+    )
+    assert result["listen_queue_current"] == 3
+    assert result["listen_queue_max"] == 128
+
+
 def test_get_cached_listen_queue_stats_uses_cache():
     mock_stats = {
         "status": "healthy",