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Diaphragmatic eventration

Case contributed by Craig Hacking
Diagnosis certain

Presentation

Dyspnea

Patient Data

Age: 70 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

Chest

x-ray

The lungs and pleural spaces are clear. Focal eventration anteriorly of the right hemidiaphragm is confirmed on the recent abdominal CT (see below). Heart size is mildly increased. Mediastinal contours are normal. No pneumothorax or free subdiaphragmatic gas. Cholecystectomy clips.

ct

Confirmatory recent CT.

Case Discussion

Eventration of the diaphragm, as in this case, can be large and simulate a mass.

As the diaphragm is intact, a Morgagni hernia is excluded.

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