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Congenital intrapericardial herniation of the liver

Imaging findings

CT scan shows a smooth, broad-based mass contiguous with the liver herniating through a diaphragmatic defect into the pericardial space, following the contour of the pericardium.

Key takeaways

Herniation of the liver into the pericardial space can occur due to congenital or traumatic defects of the central tendon of the diaphragm and parietal pericardium. Congenital herniations appear smooth and well-defined.

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