Acquired intercostal lung hernia complicated by pneumonia
Presentation
Intercostal retraction on the right side. Elevated inflammatory markers.
Patient Data
Age: 78
Gender: Male
From the case:
Acquired intercostal lung hernia complicated by pneumonia
X-ray
Frontal
Subpleural ovoid opacity in the right middle lung field, a pleural effusion was suspected.
From the case:
Acquired intercostal lung hernia complicated by pneumonia
X-ray
Prior for comparison
Frontal
No salient abnormality in a prior study.
From the case:
Acquired intercostal lung hernia complicated by pneumonia
CT
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Coronal non-contrast
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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