Acquired intercostal lung hernia complicated by pneumonia

Case contributed by Dr C.Igler

Presentation

Intercostal retraction on the right side. Elevated inflammatory markers.

Patient Data

Age: 78
Gender: Male

Subpleural ovoid opacity in the right middle lung field, a pleural effusion was suspected.

Prior for comparison

Modality: X-ray

No salient abnormality in a prior study.

Segment 8 of the right lower lobe has herniated through a chest wall defect. The herniated segment shows a pneumonia.

Case Discussion

Extrathoracic lung hernias can be congenital or acquired. Acquired hernias may be classified by etiology into traumatic, spontaneous, and pathologic.

CT can clearly confirm the presence of the herniated lung and exclude possible complications such as lung tissue strangulation or infection.

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Case Information

rID: 48830
Case created: 26th Oct 2016
Last edited: 28th Oct 2016
System: Chest
Inclusion in quiz mode: Excluded

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