Concluded Case

DIAPHRAGMATIC HERNIA

60yrs/M having left sided chest pain and cough.CXR FINDINGS?

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Concluded answer

Mediastinum is dilated Trachea is spiral and pushed to rt side Mass occupying mediastinum compressing pulmonary areas rt lung is collapsed on mediastinal and apical zone but bronchovascular markings are seen Lt side dome is elevated but intestinal loops seen along lt chest wall likely diaphragmatic hernia Segmental collapse of mid zone lt lung Mediastinal mass is to be evaluated likely lymphoma ?lymphoma with segmental collapse lt mid zone with diaphragmatic hernia

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Mediastinum is dilated Trachea is spiral and pushed to rt side Mass occupying mediastinum compressing pulmonary areas rt lung is collapsed on mediastinal and apical zone but bronchovascular markings are seen Lt side dome is elevated but intestinal loops seen along lt chest wall likely diaphragmatic hernia Segmental collapse of mid zone lt lung Mediastinal mass is to be evaluated likely lymphoma ?lymphoma with segmental collapse lt mid zone with diaphragmatic hernia

Thanx dr Diwas Sharma
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Mediastinal widening noted. Absent bronchovascular marking on left side. Saccular shadows seen in left mid and lower zone. Fundic gas shadow seen. Is there any history of trauma? Plz give detail history and clinical findings. Adv CECT thorax.

Left sided loculated hydropneumothorax with shift of mediastinum to right side

Sir,? Diaphragmatic hernia
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Widened mediastinum Mediastinal shift to right. Left midzone and basal mass / consolidation Left diaphragmatic hernia Suggest ECHO, CT

Mass ( Opacity) extended above clavicle. So it could be mass in posterior medistinum

Diaphragmatic hernia (left side), mediastinum shift to rt side.

Valuable opinion
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Mass pushing heart to right.Lt hydropneumothorax.plan HRCT chest

No fluid levels are seen
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