Diaphragmatic hernia

Case contributed by Dr Eric F Greif

Presentation

Cough.

Patient Data

Age: 58
Gender: Male
CT

There is a large amount of fat density appreciated along the left inferior lateral chest. There is a diaphragmatic defect on the left side, and likely this represents herniation of the omentum into left chest.

Case Discussion

There is a large amount of fat density appreciated along the left lateral chest. There is a diaphragmatic defect appreciated on the left side, and likely this represents a diaphragmatic herniation of omentum into left chest.

This has been seen on multiple prior CT studies. the oldest study available is from 12/2006 and the appearance is stable since that time.

Differentials include: pleural/extrapleural lipoma, diaphragmatic lipoma, dermoid tumor, and less likely liposarcoma considering its been stable since 2006.

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Case information

rID: 27545
Case created: 6th Feb 2014
Last edited: 23rd Sep 2016
Inclusion in quiz mode: Included

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