66-year-old woman with a ventral hernia on physical exam. No history of abdominal surgery. There is tenderness in the area and the patient is concerned that the hernia is expanding. In the midline, superior to the umbilicus, there are two fascial defects with protruding fat. The most superior has a neck which measures 1.9 cm in transverse dimension and 0.8 cm craniocaudal while the more inferior defect measures 1.8 cm in transverse dimension and 0.7 cm craniocaudal. No bowel or fluid is seen within the hernias despite provocative maneuvers including Valsalva and standing. These defects correspond to small fat containing hernias also seen on prior CT sagittal image #60.
Two small midline supraumbilical fat-containing ventral hernias.