Fig. 17
a, b An 80-year-old male with blunt thoracic and abdominal trauma following a motor vehicle accident. Coronal contrast CT (b) identifies multiple left rib fractures. In addition, there is a focal defect at the lateral aspect of the left hemidiaphragm (white arrow). The patient presented 2 days later with increasing shortness of breath and a new opacity on the frontal radiograph. Coronal image from follow-up CT (b) identifies interval enlargement of the left lateral diaphragmatic defect with new herniation of the stomach, splenic flexure and omentum into the left thorax. Emergent surgical repair was performed for this hernia