American Journal of Roentgenology, Vol 154, 51-53, Copyright © 1990 by American Roentgen Ray Society

ARTICLES

Lung hernia: radiographic features

M Bhalla, BS Leitman, C Forcade, E Stern, DP Naidich and DI McCauley
Department of Radiology, University of Medicine and Dentistry of New Jersey, Newark 07103.

Lung hernia is an abnormal protrusion of the lung beyond the confines of the thoracic cage. Hernias are classified as cervical, intercostal, or diaphragmatic. Each of these types can be either congenital or acquired. Acquired hernias can be spontaneous, posttraumatic, or pathologic as a result of a neoplastic or inflammatory process. This report describes five cases of lung hernias. Two were congenital cervical hernias, detected as incidental findings on chest radiographs of infants. One was a posttraumatic intercostal hernia detected on a chest radiograph and confirmed with CT. The remaining two were acquired intercostal hernias at the site of prior chest-tube drainage of tuberculous empyemas. Although both of these were clearly shown on CT scans, only one was visible on chest radiographs.
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