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May 20, 1968

Nodular Lesion of Diaphragm

Author Affiliations

From the weekly X-ray Seminar, Department of Radiology, Massachusetts General Hospital.

JAMA. 1968;204(8):725-726. doi:10.1001/jama.1968.03140210081019

Dr. Frank J. Gallia: This 54-year-old woman experienced pain in the right side of her chest approximately one week prior to admission. The pain was pleuritic in nature and was thought to be secondary to pleurodynia. The pain disappeared in two days. She has had none since.

During evaluation, a routine chest roentgenogram was obtained which showed a nodular lesion in the region of the cardiophrenic angle on the right (Fig 1). The patient does not smoke and has had no industrial exposure to noxious agents. All laboratory studies obtained were within normal limits.

Discussion  Dr. Laurence L. Robbins: Do you see anything of interest, Dr. Hanelin?Dr. Joseph Hanelin: There is a small lesion at the right base medially. In the lateral view it appears to lie halfway back, adjacent to the dome of the diaphragm. One consideration is a small hernia. I would like to see a laminagraphic