Focal diaphragmatic hernia containing liver

Case contributed by Dr Chris O'Donnell

Presentation

Prolonged cough and abnormal finding on a chest radiograph. No recent or past history of trauma.

Patient Data

Age: 60
Gender: Female
CT

CT chest performed to delineate mass lesion detected on the chest radiograph

Nubbin of liver protruding through a defect in the right hemidiaphragm anteriorly. Note portal venous supply (on the coronal) and parenchymal density similarity to liver indicating that it is liver.

Well-defined soft tissue mass sitting next ot the right heart border with loss of the silhouette.

Case Discussion

Defect in the right hemidiaphragm anteriorly could either be congenital (Morgagni hernia) or traumatic, i.e. due to a previous episode of trauma when the partial rupture was not detected.

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Case information

rID: 31941
Case created: 7th Nov 2014
Last edited: 21st Nov 2015
System: Chest
Inclusion in quiz mode: Included

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