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Richard B. Bridenbaugh, MD; Joseph M. Thompson, MD; Cedric M. Bautista, MD

JAMA. 1985;254(19):2797-2798.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

A 71-year-old woman was admitted to the hospital for gastric surgery. The preoperative diagnosis of adenocarcinoma of the stomach had previously been established by upper gastrointestinal tract examination followed by gastroscopy and biopsy.

History

The patient, in excellent health all her life, had an abdominal hysterectomy 25 years previously.

Physical examination revealed no significant abnormality. An isotopic scan of the liver was normal. A chest roentgenogram demonstrated a mass in the posterior costophrenic angle on the right (Figs 1 and 2). Review of a chest film obtained six years previously showed no abnormality at that time.

The characteristics of the mass were those of an extrapulmonic lesion. After evaluating the possibilities of a posterior mediastinal lesion, a diagnosis was made and presumptively confirmed by computed tomography (CT).

Diagnosis

Bochdalek's diaphragmatic hernia.

The mass was considered to be extrapulmonic because of the stripelike areas of decreased density along the convexity of . . . [Full Text PDF of this Article]

Author Affiliations
From the Departments of Radiology (Drs Bridenbaugh and Thompson) and Surgery (Dr Bautista), Pioneers Memorial Hospital, Brawley, Calif.

Footnotes
Reprint requests to Department of Radiology, Pioneers Memorial Hospital, Brawley, CA 92227 (Dr Bridenbaugh).

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