Kim Wendy,  Courtier Jesse,  Morin Cara,  Shet Narendra,  Strauch Eric,  Kim Jane

Final Pr. ID: Poster #: EDU-035

Late-presenting or recurrent diaphragmatic defects can pose a diagnostic challenge due to varying clinical presentations. Current diagnostic approaches include plain film radiograph for initial assessment, with other imaging modalities such as fluoroscopy, ultrasound, CT and MRI mainly employed for troubleshooting. As a radiation-free modality, MRI can provide a more definitive diagnosis in particular cases due to its ability to visualize discontinuity of the diaphragm (distinguishing it from eventration), hernia contents, defect location and size.

In this exhibit, we will:
1. Review the normal appearance of the diaphragm.
2. Share our institutional MRI protocol for optimal evaluation of the diaphragm, including use of CINE steady state free precession sequences and use of negative slice spacing in T2 weighted images.
3. Discuss important postnatal MR imaging findings of late presenting and recurrent diaphragmatic hernias in children.
4. Describe potential diagnostic pitfalls in the imaging of the diaphragm. Read More

Authors:  Kim Wendy , Courtier Jesse , Morin Cara , Shet Narendra , Strauch Eric , Kim Jane

Keywords:  Diaphragmatic hernia, MRI, Hiatal hernia, Bochdalek hernia, Morgagni hernia