Figure it out fridays 

47-year-old woman presented to the ER with dyspnea on exertion, otherwise vitally stable. 

Her medical history was remarkable for asthma and ovarian cyst. 

At regular health check-ups during her elementary school years, chest radiographs appeared abnormal; however, she never had any opportunities for further examinations until this presentation.

A cardiac catheterization study demonstrated elevated pulmonary capillary wedge pressure (31 mm Hg) and elevated pulmonary arterial pressure (53 mm Hg)

She underwent CXR and CT chest as shown above

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What is your diagnosis?

 

A. Morgagni hernia

B. Bochdalek hernia

C. Primary lung sarcoma

D. Bronchogenic carcinoma

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