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American Journal of Roentgenology, Vol 167, 927-930, Copyright © 1996 by American Roentgen Ray Society

ARTICLES

Apical lung hernia: radiologic findings in six cases

HP McAdams, DS Gordon and CS White
Department of Radiology, Duke University Medical Center, Durham, NC 27710, USA.

OBJECTIVE: We performed this study to characterize the clinical and radiologic manifestations of apical lung hernias. CONCLUSION: Apical lung hernias typically manifest as unilateral, right-sided air radiolucencies at the thoracic inlet on chest radiographs. They are frequently intermittent and can cause lateral tracheal deviation. Radiologic studies performed at midinspiration may not show hernias. Airway fluoroscopy or CT performed at maximal inspiration may be necessary to confirm the diagnosis.
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