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Congenital Diaphragmatic Hernia - Right Bochdalek

Rigler SLR - MedPix (2007)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Congenital Diaphragmatic Hernia - Right Bochdalek

History: 2 day old term female, with routine prenatal course born via uncomplicated vaginal delivery, who presented with respiratory distress.

Findings: Frontal and lateral radiograms demonstrated a large mass in the posterior right hemithorax with shifting of the cardiac structures to the left. MRI showed a 5 cm defect in the posterior right hemidiaphragm with herniation of the liver into the right hemithorax.

Ddx: Congenital Diaphragmatic Hernia Pulmonary Sequestration Congenital Cystic Adenomatoid Malformation Bronchogenic Cyst

Dxhow: During Surgical Repair

Exam: Patient was afebrile with a respiratory rate in the 40's and an O2 sat of 91% on room air. Patient visibly tachypneic with nasal flaring and retractions. Breath sounds were diminished on the right side. CBC within normal limits.

No MeSH data available.


Demonstrates an an abnormal contour in the right hemithorax that extends inferiorly below the right hemidiaphragm concerning for a mass.  There is diffuse haziness of the left lung fields with obscuration of the diaphragm and left heart border.
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MPX2568_synpic34866: Demonstrates an an abnormal contour in the right hemithorax that extends inferiorly below the right hemidiaphragm concerning for a mass. There is diffuse haziness of the left lung fields with obscuration of the diaphragm and left heart border.


Congenital Diaphragmatic Hernia - Right Bochdalek

Rigler SLR - MedPix (2007)

Demonstrates an an abnormal contour in the right hemithorax that extends inferiorly below the right hemidiaphragm concerning for a mass.  There is diffuse haziness of the left lung fields with obscuration of the diaphragm and left heart border.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX2568&req=5

MPX2568_synpic34866: Demonstrates an an abnormal contour in the right hemithorax that extends inferiorly below the right hemidiaphragm concerning for a mass. There is diffuse haziness of the left lung fields with obscuration of the diaphragm and left heart border.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Congenital Diaphragmatic Hernia - Right Bochdalek

History: 2 day old term female, with routine prenatal course born via uncomplicated vaginal delivery, who presented with respiratory distress.

Findings: Frontal and lateral radiograms demonstrated a large mass in the posterior right hemithorax with shifting of the cardiac structures to the left. MRI showed a 5 cm defect in the posterior right hemidiaphragm with herniation of the liver into the right hemithorax.

Ddx: Congenital Diaphragmatic Hernia Pulmonary Sequestration Congenital Cystic Adenomatoid Malformation Bronchogenic Cyst

Dxhow: During Surgical Repair

Exam: Patient was afebrile with a respiratory rate in the 40's and an O2 sat of 91% on room air. Patient visibly tachypneic with nasal flaring and retractions. Breath sounds were diminished on the right side. CBC within normal limits.

No MeSH data available.