Angiotensin converting enzyme inhibitor associated spontaneous herniation of liver mimicking a pleural mass: A case report

Figure 1  Chest radiograph demonstrates a well-defined soft tissue mass noted just above the right hemi-diaphragm making an obtuse costophrenic angle suggesting pleural or extra-pleural mass.

Figure 2 Chest computed tomography images. A: Axial view showing herniated part of the liver through focal defect in the right hemi-diaphragm (arrow) mimicking a pleural/pulmonary mass; B: Coronal view shows extension of liver parenchyma into the thoracic cavity with hepatic artery within herniated liver (arrow); C: Sagittal view shows nubbin of liver parenchyma herniated through diaphragmatic defect posteriorly (arrow).