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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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Comment by M.T Niknejad on May 19, 2012 at 2:07pm

Thanks for educational comment my dear prof.

Comment by saeed rad on May 19, 2012 at 12:47pm

This is the second cottage loaf sign that i see. Usually we use this sign to the supradiaphragmatic anomalous venous drainage with Cuvier angle or snowman sign. Anyhow it is nice.... thank you.

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