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A 53-year-old man was admitted to our hospital for evaluation of chest abnormal shadow at the left cardiophrenic angle. Computed tomography (CT) scan revealed a homogeneous mass of fatty density on the left diaphragm. Magnetic resonance imaging (MRI) demonstrated a well-demarcated tumor mass with a fatty signal intensity and, in the sagittal view, the mass showed continuity into the retroperitoneal fatty tissue.

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Morgagni hernia diagnosed by MRI.

Surg Today

October 1996

Division of Thoracic Surgery, Tochigi Cancer Center, Japan.

We herein present a patient with Morgagni hernia which was diagnosed by magnetic resonance imaging (MRI). The patient had a progressively enlarging mass in the right cardiophrenic angle on chest roentgenogram. On computed tomography (CT) scans, the mass was revealed to have fat density and therefore was suspected to be either a lipoma or liposarcoma.

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[Two cases of Morgagni's hernia].

Nihon Kyobu Geka Gakkai Zasshi

February 1993

Department of Thoracic Surgery, Matsudo National Hospital, Chiba, Japan.

Two cases of Morgagni's hernia comprising protrusion of the omentum alone are reported. The treated patients were 65- and 63-year-old obese women. They were referred to our hospital because of chest pain or vomiting accompanied by abnormal shadow in right cardiophrenic angle on chest roentgenogram.

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The authors use this term to describe collections of fatty material in the tissues, circumscribed or not, which may cause permanent deformity of the mediastinum. This definition may not be based upon histological examinations but it is perfectly appropriate following the recent use of computer tomography (CAT) investigations. The authors base their comments on the study of 21 cases divisible into two groups of unequal size: in 5 cases, studied without using CAT, diagnosis was made during operation; in the 16 other cases it was made by CAT.

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