PMC4896231_01
45-year-old man with Bochdalek hernia. Lateral chest radiograph shows a small round opacity (red arrow) in contact with the posterior portion of the right hemidiaphragm.
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The posteroanterior chest radiograph was normal, but the lateral view disclosed a round opacity, 2 cm in diameter, in contact with the posterior portion of the right hemidiaphragm which remained unchanged in size or shape with the Valsalva or Muller maneuvers (Fig. 1).
45-year-old man with Bochdalek hernia. Axial CT image in soft tissue settings demonstrates an ill-defined opacity adjacent to the right hemidiaphragm.
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A conventional CT of the thorax disclosed an opacity adjacent to the right hemidiaphragm (Figure 2A, Figure 2B).
45-year-old man with Bochdalek hernia. Axial CT image in lung settings shows the posterior right costophrenic poorly marginated lesion.
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The MRI study showed that a portion of the liver had herniated posteriorly through a right diaphragmatic muscle defect, confirming the presence of a Bochdalek hernia (Figure 3A, Figure 3B). The patient underwent fiberoptic bronchoscopy, because of his smoking history.