Presentation
Fever, cough, runny nose
Patient Data
Age: 6 months
Gender: Female
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Apex of right lung is protruded above level of manubriosternal joint.
Inhomogeneous haziness over upper zones of both lung fields, as well as middle zone of right lung field.
Mediastinal part of trachea deviated towards right; cervical part deviated towards left.
Case Discussion
Apical lung herniation in children is perhaps due to disproportionate growth of the ribcage, and often presents early, then gradually resolves with the baby's growth. Lung herniation by itself remains asymptomatic, unless complicated by secondary factors like external injury, or compression upon neck structures.