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Intercostal Lung Herniation After Chronic Cough: A Comprehensive Imaging Review

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  Lung Herniation After Severe Coughing: CT Findings Every Radiologist Should Know Introduction Most radiologists encounter thousands of chest radiographs and thoracic CT examinations throughout their careers. Yet only a small minority will identify a true lung herniation. Lung herniation is one of the rarest thoracic disorders, characterized by protrusion of pulmonary parenchyma beyond the normal boundaries of the thoracic cavity through a defect in the chest wall, diaphragm, or mediastinum. Although uncommon, failure to recognize this condition can lead to delayed treatment, progressive respiratory compromise, incarceration of lung tissue, and potentially life-threatening complications. With the increasing use of multidetector CT, emergency radiologists are detecting more cases than ever before. At the same time, artificial intelligence is beginning to transform thoracic imaging workflows, offering new opportunities for automated recognition of subtle chest wall abnormalities. Th...