Hosting 727 files, 2946 images, and 4 contributors.

Random Case

Cricoid Injury
Joseph Junewick, MD FACR
over 9 years ago
Enter A Workflow
Standard2   Academic2

Please choose a workflow. A standard workflow allows you to browse the repository with full case detail; the academic workflow allows you to browse the repository with limited case detail revealed. Double click on the images to launch image viewer.

ARSt Case Repository

Case History

Child presented to the ER with fever.

Case Detail

Anatomy: Chest
Heather Borders, MD
Diagnostic Category: Normal variant
Created: over 8 years ago
Updated: over 8 years ago
Tags: PEDS
Modality/Study Types: CR
Adobe32 PDF Imagej32 ImageJA

Case Images

Academic Case Revealer (Click to Expand)

Reveal Findings

Small radiolucent right neck mass arising from the right lung apex. No significant tracheal deviation. No air fluid level.

Reveal Discussion

Apical lung hernias are usually unilateral right sided and radiolucent. This may be an intermittent finding best seen during inspiration. Tracheal deviation may occur.

Lung hernias are either congenital or acquired. Acquired are more common. However, the apical type is more commonly congenital. Most in children are congenital, in particular, and tend to resolve.

Fascia at the lung apex between the sternocleidomastoid and anterior scalene becomes weak and allows the lung to herniate superiorly. The defect is often large and allows the hernia to be intermittent.

Differential includes pharyngoceles, laryngoceles and esophageal diverticula.

Reveal Diagnosis

Apical lung herniation

Corporate Office: 616.363.7272, 3264 North Evergreen Drive, Grand Rapids, MI 49525

Spectrum Health Helen Devos Childrens Hospital GE HealthCare