Focal diaphragmatic hernia
Abnormal pre-operative chest X-ray. No past history of trauma.
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A focal defect of the right hemidiaphragm at the midline with herniation of a part of the hepatic dome.
Note hepatic veins variants: 2 right / 2 middle hepatic veins / 1 left accessory hepatic vein.
A focal diaphragmatic hernia could be of congenital or traumatic origin.