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Intercostal lung herniation--depiction on spiral CT
V M Joshi1, P G Shetty, M M Shroff
1Department of Imaging, PD Hinduja National Hospital and Medical Research Centre, Mumbai.
The Journal of the Association of Physicians of India
|January 5, 2002
Summary
Computed tomography (CT) is the best imaging method for intercostal lung herniation. Coughing during spiral CT scans can reveal herniation that other methods miss.
Area of Science:
- Radiology
- Diagnostic Imaging
- Thoracic Imaging
Background:
- Intercostal lung herniation is a rare condition.
- Computed tomography (CT) is the preferred imaging modality for diagnosis.
- Standard CT protocols may not always demonstrate herniation.
Observation:
- A case of intercostal lung herniation is presented.
- The herniation was only visualized during a coughing maneuver.
- Spiral CT was utilized for imaging.
Findings:
- Coughing during spiral CT can effectively demonstrate intercostal lung herniation.
- This technique can reveal herniations not apparent with standard CT.
- Valsalva's maneuver and forced expiration are sometimes recommended but coughing proved key in this case.
Implications:
- Clinicians should consider incorporating coughing maneuvers during CT scans for suspected intercostal lung herniation.
- This may improve diagnostic accuracy for this rare condition.
- Enhanced imaging protocols can improve the detection of subtle thoracic abnormalities.