Medical image of the week: Bochdalek hernia

• Main Authors: Omar M, Snyder L
• Format: Article
• Language: English
• Published: Arizona Thoracic Society 2016-06-01
• Series: Southwest Journal of Pulmonary and Critical Care
• Subjects: Bochdalek; CT scan; chest x-ray; diaphragm; hernia; Morgagni; congenital; symptoms; treatment; mass
• Online Access: http://www.swjpcc.com/imaging/2016/6/1/medical-image-of-the-week-bochdalek-hernia.html

No abstract available. Article truncated at 150 words. A 61 year-old man presented for an evaluation of a nonproductive cough. He has a history of well-controlled asthma, allergic rhinitis and nasal polyposis, hypertension, gastro-esophageal reflux and obstructive sleep apnea. The ACE inhibitor used to treat hypertension was discontinued. The physical exam was unremarkable. Pulmonary function testing was normal. A PA and lateral chest radiograph was performed and revealed an abnormal contour of the left hemidiaphragm with a large lobulated opacity (Figure 1- blue arrows). Computed chest tomography revealed the lobulated opacity in the left lower lobe contained fat and was consistent with a Bochdalek hernia (Figure 2). Congenital diaphragmatic hernia is a major malformation in newborns and in the perinatal period. The diagnosis of congenital diaphragmatic hernia in adults is rare. There are three types of congenital diaphragmatic hernias: posterolateral (Bochdalek) diaphragmatic hernia, subcostosternal (Morgagni) hernia and esophageal hiatal hernia. The Bochdalek diaphragmatic hernia is the result of ...