History of chest trauma 1 year ago and left sided hemothorax which had been treated. Now the patient complains of dyspnea.
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Large defect is seen along the anterolateral aspect of the left diphragmatic copula which measures about 1.9 cm along its maximum transverse diameter and 1.8 cm along its anteroposterior diameter with subsequent herniation of peritoneal fat into the left hemithorax and anterior mediastinum.