![](https://i2.wp.com/radrounds.com/wp-content/uploads/2021/09/cottage_loaf_sign.png?resize=696%2C552&ssl=1)
Diagnosis: Right sided diaphragmatic rupture
Findings: A cottage loaf sign occurs as a result of a right-sided diaphragmatic rupture occurs with partial herniation of the liver through the diaphragmatic defect.The herniated component is separated by a waist at the diaphragm from the larger intra-abdominal component. This shape is reminiscent of a cottage loaf, a particular shape of bread in which larger and smaller roughly spherical balls are squashed together, forming a cottage shape
Credit: Case submitted by Dr. M.T Niknejad MD to radRounds Radiology Network