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Chest, Vol 78, 346-348, Copyright © 1980 by American College of Chest Physicians

ARTICLES

Pseudopseudotumor of the lung. Hepatic herniation into the right major fissure imitating a pseudotumor on chest roentgenogram

CH Fanta, GP Kacoyanis, JK Koster Jr and ER McFadden Jr

A young man presented to us with an asymptomatic ovoid mass which appeared to be in the right major fissure. The roentgenographic appearance of the lesion was that of a pseudotumor. The computerized tomography scan suggested tissue density leading to exploration. At surgery, we found the mass to be a portion of liver herniated through a diaphragmatic defect. Thus, we add type 2 hepatic herniation to congestive heart failure, empyema, hemothorax, postinflammatory "fibromas" and malignancies as a cause of interlobar pleural densities.




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Copyright © 1980 by the American College of Chest Physicians.