CLINICAL IMAGAGINGAN ATLAS OF DIFFERENTIAL DAIGNOSISEISENBERG

1. 46Elevated Diaphragm

2. CLINICAL IMAGAGING
AN ATLAS OF DIFFERENTIAL DAIGNOSIS
EISENBERG
DR. Muhammad Bin Zulfiqar
PGR-FCPS III SIMS/SHL

3. • Fig C 46-1 Partial eventration. Of the right
hemidiaphragm (arrow).

4. • Fig C 46-2 Complete eventration. Of the right
hemidiaphragm.

5. • Fig C 46-3 Phrenic nerve paralysis. Primary
bronchogenic carcinoma (arrow) involving the
phrenic nerve causes paralysis of the right
hemidiaphragm

6. • Fig C 46-4 Intra-abdominal mass. (A) Acute
gastric dilatation causes diffuse elevation of
both leaves of the diaphragm. (B) Huge
syphilitic gumma of the liver produces
elevation of the right hemidiaphragm.

7. • Fig C 46-5 Acute pneumonia. Elevation of the
right hemidiaphragm due to splinting
secondary to a right lower lung infiltrate.

8. • Fig C 46-6 Subpulmonic effusion. The peak of
the pseudodiaphragmatic contour (arrow) is
lateral to that of a normal hemidiaphragm.

9. • Fig C 46-7 Morgagni hernia. (A) Frontal and (B)
lateral views demonstrate barium-filled bowel
in a hernia sac that lies anteriorly and to the
right.

10. • Fig C 46-8 Bochdalek hernia. Gas-filled loop of
bowel (arrow) is visible posteriorly in the
thoracic cavity.

11. • Fig C 46-9 Traumatic rupture of the
diaphragm. Herniation of a portion of the
splenic flexure (arrow), with obstruction to the
retrograde flow of barium.

12. • Fig C 46-10 Traumatic rupture of the
diaphragm. (A) On a frontal projection, the
radiographic appearance simulates
eventration or paralysis of the left
hemidiaphragm. (B) The administration of
barium clearly demonstrates the herniation of
bowel contents into the chest.