-
spegelian questions
You are very correct in the lineage of your questions. If you feel a bulge, then it should be visible on CT scan, even without a bear down or valsalva. If the report is “negative,” then you need it to be re-read by a specialist.
Flank hernias are either traumatic (e.g., bad car accident) or due to surgery, as Dr. Goldstein stated. But you are mentioning bulging at the groin crease and the hip, with symptoms that are more suggestive of an inguinal hernia.
I recommend you see a specialist in hernias that can review your imaging, take your history into consideration, and perform a careful examination.
Where do you live? We can refer you to someone local who we know and respect.