Cottage loaf sign

A cottage loaf sign occurs as a result of a right-sided diaphragmatic rupture occurs with partial herniation of the liver through the diaphragmatic defect.The herniated component is separated by a waist at the diaphragm from the larger intra-abdominal component. This shape is reminiscent of a cottage loaf, a particular shape of bread in which larger and smaller roughly spherical balls are squashed together, forming a cottage shape.
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