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Chest radiographs of an asymptomatic 36-year-old man with normal physical findings.
The radiographs show that the large right paracardiac mass represents bowel that has herniated anteriorly into the chest,presumably through a congenital diaphragmatic defect involving the Foramen of Morgagni. A computed tomographic scan (image below) confirmed the diagnosis.
Such herniation typically occurs on the right but can be left-sided or bilateral. Surgical repair is recommended in most cases toprevent obstruction or strangulation of the bowel.
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