PMC6556798_01
The blue arrows show the visceral pleural line indicating the presence of pneumothorax and diaphragmatic free air. The orange arrow reveals a large 56 mm mass at the base of the lung (confirmed as liver on computed tomography).
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fig1
The CXR showed a large right spontaneous pneumothorax with what approved to be a 5.6 cm pleural mass at the right lung base (Figure 1).
Coronal view of CT scan with orange arrow showing a 33 mm diaphragmatic defect with liver herniation, 5.8 x 4.6 x 3.9cm.
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A follow-up CTof chest showed a 33 mm diaphragmatic defect with a 5.8 x 4.6 x 3.9 cm area of herniated liver corresponding to the presumed pleural mass (Figure 2).
Blue arrow showing large diaphragmatic defect with herniation of liver before repair.
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fig3
Emily Cassidy (Figures 3 and 4).
Suture repair of the diaphragmatic defect.
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Emily Cassidy (Figures 3 and 4).
Blue arrow showing an endometrial implant on the chest wall.
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