Cough-induced intercostal lung herniation

AbstractIntercostal lung herniation is an uncommon entity, defined as protrusion of lung tissue between the ribs. The disease is mostly diagnosed either congenitally or acquired following post-surgery or after chest wall trauma. A spontaneous lung herniation is rarely described

Spilled gallstones with surrounding inflammation

Background: A 62-year-old Turkish man was referred for ultrasonography of a palpable mass in the left upper abdomen. Past medical history revealed emergency laparoscopic cholecystectomy for acute calculus cholecystitis about 6 months earlier in Turkey. On clinical examination there was a small palpable mass with mild tenderness in the left subcostal region. Due to a language barrier it was uncertain if the swelling was present before or after the cholecystectomy. Ultrasonography revealed a calcified lesion. The differential diagnosis at that time was dystrophic calcifications or a soft tissue tumor with calcification. However, additional conventional imaging of the left subcostal region revealed no calcifications. In the work-up of a possible soft tissue tumor MRI was performed

Flake-shaped rice bodies

Rice body formation is a common complication of rheumatoid arthritis but can also occur without any underlying systemic disorder. MRI is the modality of choice for discriminating this pathology from synovial chondromatosis