Shin M S, Mulligan S A, Baxley W A, Ho K J
Department of Radiology, University of Alabama School of Medicine, Birmingham 35233.
Chest. 1987 Dec;92(6):1098-101. doi: 10.1378/chest.92.6.1098.
Two cases of asymptomatic Bochdalek hernia in adults with identical roentgenographic findings are reported. Computed tomography (CT) in each case revealed a round mass with a low attenuation coefficient identical to that of adipose tissue, abutting the thoracic surface of the diaphragm and connecting with the subdiaphragmatic density through a diaphragmatic defect. A case of diaphragmatic lipoma was also presented for demonstration of the CT differentiation between lipoma and hernia of the diaphragm. The CT findings for a Bochdalek hernia are characteristic enough for making a definite diagnosis and render other diagnostic modalities unnecessary.
