Season 2 Case 6

History: Pre-operative exam

Season 2 Case 6

Case 6   Hx: preoperative screening    ( It’s early in the year so I’ll give you the right diaphragmatic eventration)

Answer:

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image

Does this help? Notice the density - ie fat.

Answer: Bochdalek hernia

Probably wise to CT this if there is no p.rior or without any history. Ideally a mass should be a little more dense on the plain film, but you never know what is popping up there along with fat - ie colon, kidney, spleen, etc

reference: http://radiopaedia.org/articles/bochdalek_hernia