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Posterior/anterior chest X-ray showing the reduced size of both lung fields and presence of abdominal contents in the chest cavity bilaterally.
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f1
Her chest X-ray demonstrated a large hiatus or congenital hernia (Fig. 1).
Arterial contrast CT of the chest. Coronal slice transecting the midpoint of the chest cavity showing herniation of large bowel, small bowel and omentum into the chest cavity.
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f2
Hernial contents extended to the superior mediastinum and were primarily large bowel and omentum, with no intestinal obstruction (Figs 2-4).
Arterial contrast CT of the chest. Axial slice at the T4/5 level showing herniation of large bowel, small bowel and omentum into the chest cavity. The defect in the anterior diaphragm measures 88.2 mm x 48.2 mm. Of note is the significant reduction in the size of the lung fields.
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f3
Hernial contents extended to the superior mediastinum and were primarily large bowel and omentum, with no intestinal obstruction (Figs 2-4).
Arterial contrast CT of the chest. Sagittal slice in the midline of the body. The diaphragmatic defect is clearly seen anteriorly, and the abdominal contents are seen extending to the superior mediastinum.
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f4
Hernial contents extended to the superior mediastinum and were primarily large bowel and omentum, with no intestinal obstruction (Figs 2-4).
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