Based on these ct photos, do I have a hernia, diastasis recti or both? (photos)

Based on your CT scan I agree that you do have a ventral hernia, due to divarication (diastasis) of your rectus abdominus muscle.  Most likely this is related to your recent pregnancy.I think this is unlikely to resolve with time, exercises to strengthen the muscles or compression garments to try to pull things back together.  Most likely you will need a repair of the divarication and this is most easily and safely performed as part of an abdominoplasty.  I suggest waiting a few more months before you undertake the surgery.  It is ideal if you have returned to your pre-pregnancy weight and activity levels.  If you are planning more children it is also probably better to defer the surgery until after your last child too.Kind regards,Dean

Hi, thanks for your interesting question. I can see an important diastasis of abdominal rectus muscle in the CT scan. For practical purposes, it shows a similar behaviour of an hernia, because of this, In addition to a surgical muscle repair I recommend you the use of a proline net, which will give you a reinforcement to the abdominal wall. Respectfully,Dr. Emmanuel Mallol Cotes

Wow that CT scan  looks like rectus diastasis to me. I wonder how much it cost since physical exam is all most doctors need to diagnose this. If a general surgeon desires to fix this under your insurance plane then I bet you will not like the probable vertical scar. I agree that waiting and seeing a local board certified plastic surgeon is a good idea. If you elect to have this done now you may need it done again if you have other children. Good Luck!