Diagnosis: Bochdalek hernia

Findings: Radiograph demonstrates bowel containing contrast within the chest, within the pleural cavity consistent with a pleuroperitoneal hernia.

Key Points: Pleuroperitoneal hernias typically occur posteriorly and are a result of a posteriorly located defect when there is a failure in closing the pleuroperitoneal membrane closure while in utero. Bowel, retroperitoneal structures may prolapse through the defect into the pleural space.

Credi: Case submtited by Dr. Saeed Rad MD to radRounds Radiology Network