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Bilateral Posterior Diaphragmatic Hernias (Acquired "Bochdalek")

Imaging findings

Bilateral posterior medial fat deposits extending into the thoracic space, appearing to mimic pleural space contents.

Key takeaways

These acquired adult hernias are distinct from congenital Bochdalek hernias. They are typically medial, bilateral, and asymptomatic, often representing a common variant of aging or obesity rather than a classic congenital defect.

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