CASE HISTORY / CLINIC:
61-year-old patient with mild retrosternal pain.



FINDINGS:
CT scan of the abdomen after oral and i.v. contrast application:
A well defined
plumply contrast-filled retrocardial structure that is also evident on the ventral side of the thoracic aorta is visualized with patient lying supine. Homogeneous dorsobasal hyperintense shadow on the right with discrete contrast enhancement of the surrounding lung parenchyma.


DIAGNOSIS:
Small dorsobasal
pleural effusion on the right with surrounding dystelectasis. Axial hiatal hernia.


Web resources:

1) Jend
2) Endoskopischer Atlas
3) Learning radiology
4) Huber
5) RWTH Aachen
6) Medicine worldwide
7) AWMF
8) Chorus
9) AHC-Consilium


 





FINDINGS



DIAGNOSIS