Ventral diaphragmatic hernia

Case contributed by Dr Nolan Walker

Presentation

Productive cough

Patient Data

Age: 80 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

X-ray

Smooth-contoured mass at the right base, with loss of the right heart border.

Right anterior diaphragmatic hernia, containing fat and a small pocket of fluid.

Case Discussion

The appearances of a ventral diaphragmatic hernia are variable.

In this case, the mass is smooth-contoured, with loss of the right heart border. The right hemidiaphragm is clearly visible. These signs locate the mass to the anterior and middle mediastinum.

The mass is less radiopaque than most of the surrounding soft tissue, suggesting that it may contain a large quantity of fat. There are no visible loops of bowel contained within the hernia.

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