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Pediatric Apical Lung Hernia

Imaging findings

A child with a cough showed a right apical lung hernia on radiography. Subsequent CT was normal, but fluoroscopy demonstrated a dynamic hernia occurring during respiratory maneuvers.

Key takeaways

Apical lung hernias can be dynamic and intermittent, potentially due to laxity or weakness in the Sibson's fascia. They may be occult on static cross-sectional imaging.

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