Blunt diaphragmatic lesions: Imaging findings and pitfalls

Figure 13 False negative case of blunt diaphragmatic lesions. Three millimeters thick axial CT images of the same patient, acquired after a precipitation trauma (A) and two years later (B). Thickening of the antero-medial part of the left hemidiaphragm (A, arrows) was overlooked at the first CT scan, performed after a precipitation trauma. Two years later, a CT scan performed because of epigastric pain showed intra-thoracic viscera herniation (B, “a”) as a consequence of diaphragmatic rupture. CT: Computed tomography.