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I also had a followup question. I had an ultrasound and ct using valsava. Both came back negative. I know based on reading your literature that this is not the best for groin hernias, but would this show a recurrent epigastric hernia? No mesh was used. Like I said, the fixed lump is very small and feels the same lying down or standing up and doing physical activities. Actually it feels a bit smaller when doing physical activities. I don’t know if its incarcerated or maybe not even a hernia at all. I didn’t know how good ct and ultrasound were for detecting something like that.