Season 9 Case 3
Hx: Chest pain


Answer: Bochdalek Hernia
Large round opacity right lung base.
On frontal does NOT obscure anterior diaphragm or R heart border - ie posterior/RLL
On lateral DOES “obscure” entire posterior R diaphragm


-congenital defect in posterior diaphragm attachment
- Can be either side (classic =L side in symptomatic infantslung hypoplasia, but R m/c in adults?)
- typically only fat but ~25% can contain abd organs
Hint: Bochdalek = Back
