RT Book, Section A1 Barlotta, Kevin S. A1 Stack, Lawrence B. A1 Knoop, Kevin J. A2 Knoop, Kevin J. A2 Stack, Lawrence B. A2 Storrow, Alan B. A2 Thurman, R. Jason SR Print(0) ID 1178983186 T1 Lung Herniation T2 The Atlas of Emergency Medicine, 5e YR 2021 FD 2021 PB McGraw-Hill PP New York, NY SN 9781260134940 LK accessmedicine.mhmedical.com/content.aspx?aid=1178983186 RD 2021/04/15 AB Lung herniation is a rare cause of chest pain and dyspnea in which the lung parenchyma protrudes through a defect in the thoracic wall. It typically occurs due to a preexisting weakness in the thoracic wall combined with an acute rise in intrathoracic pressure such as during a cough, sneeze, or Valsalva. Obesity, steroid use, prior injury, and surgery are risk factors for herniation. Symptoms include chest pain with cough, local pain, and swelling in the area of the herniation, which may vary in size during respirations. The deformity is typically reducible.