Preschooler with a bulge above the umbilicus

US of abdominal wall hernia
Transverse US of the midline abdominal wall just superior to the umbilicus shows echogenic omental fat herniating in the midline between the medial rectus muscles which are abnormally displaced to the lateral aspect of the image and which should normally be joined together in the midline.

The diagnosis was an abdominal wall hernia.