Presentation
Chest pain and breath shortness.
Patient Data
A 4cm defect is present in the anteromedial aspect of right hemidiaphragm that some omental fat herniated through it into the right hemithorax causing mild adjacent parenchymal collapse. In addition, the right hemidiaphragm is elevated and eventration is noted. There are also several atelectatic bands scattered bilaterally.
Cardiomegaly is present and pulmonary artery trunk is dilated up to 38mm.
Degenerative changes as osteophytosis are seen at the thoracic spine.
Case Discussion
Features on CT scan are consistent with Morgagni hernia, which is one of the congenital diaphragmatic hernias (CDH), and is characterized by herniation through the foramen of Morgagni.