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Lung hernia: radiographic features.

M Bhalla1, B S Leitman, C Forcade

  • 1Department of Radiology, University of Medicine and Dentistry of New Jersey, Newark 07103.

AJR. American Journal of Roentgenology
|January 1, 1990
PubMed
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Lung hernias are protrusions of lung tissue outside the chest cage, occurring congenitally or acquired. This case series highlights varied presentations and diagnostic challenges of lung hernias.

Area of Science:

  • Pulmonology
  • Thoracic Surgery
  • Radiology

Background:

  • Lung hernia involves abnormal protrusion of lung tissue beyond the thoracic cage.
  • Classified as cervical, intercostal, or diaphragmatic, hernias can be congenital or acquired.
  • Acquired hernias arise spontaneously, post-trauma, or pathologically due to neoplastic or inflammatory conditions.

Observation:

  • This report details five cases of lung hernias.
  • Two congenital cervical hernias were incidental findings in infants on chest radiographs.
  • One posttraumatic intercostal hernia was identified on chest radiograph and confirmed with CT.

Findings:

  • Two acquired intercostal hernias occurred at sites of prior chest-tube drainage for tuberculous empyemas.
  • CT scans clearly visualized both acquired intercostal hernias.

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  • Chest radiographs identified only one of the two acquired intercostal hernias.

    • Implications:

    • Lung hernias, though rare, present diverse etiologies and locations.
    • CT imaging is crucial for diagnosing intercostal lung hernias, especially post-traumatic or post-procedural.
    • Radiographic detection varies, underscoring the need for advanced imaging in suspected cases.