Chilaiditi's sign is asymptomatic interposition of the bowel at hepatic flexure of colon between the liver and right hemidiaphragm
visible on chest X-ray, which is usually performed for some cardiorespiratory illness.
Most diaphragmatic lesions occur on the abdominal side and right hemidiaphragm
, which may offer evidence for the theory that retrograde menstruation drives the development of endometriosis because of the clockwise flow of peritoneal fluid.
Furthermore from a clinician's point of view, TUS (in comparison to a chest radiograph) can confidently differentiate between pleural fluid, dense consolidation and a raised hemidiaphragm
Keywords: Topiramate, phenytoin, hemidiaphragm
, neuromuscular junction, tetanic stimulation
MRCP showing Dilated MPD with Atrophied Pancreatic Parenchyma and a Long Fistulous Tract from MPD from the Region of the Head of Pancreas and Extends along the Right Subhepatic Space and Hepatorenal Pouch into the Right Pleural Cavity via a well-defined Trans-Diaphragmatic Tract in the Right Postero-Laterai aspect of Hemidiaphragm
The right hemidiaphragm
is easily visualized because of the large acoustic window of the liver, while visualization of the left hemidiaphragm
is more difficult because of a smaller window of the spleen.
A laceration wound about 3 cm in length with continuous oozing at the dome of the right hemidiaphragm
was noted in emergent thoracotomy.
Westport, Ireland) injection into the diaphragm under EMG guidance, including 50 units in the right hemidiaphragm
, 25 units in the left hemidiaphragm
, and 100 units in each RA [Figure 1].
Further imaging by a Computarized Tomography (CT) scan of the abdomen and pelvis showed a loop of colon interpositioned between the liver and the right hemidiaphragm
, mimicking free air (Figure 2).
4) Subpulmonic effusions may demonstrate lateralization of hemidiaphragm
on frontal radiograph (Figure 3).
Other signs that suggest mediastinal air on the CXR include the 'continuous diaphragm sign' (air trapped posterior to the pericardium), 'Naclerio's V sign', which is formed by the junction of mediastinal air in the left lower mediastinum and extrapleural air adjacent to the left hemidiaphragm
, the 'V sign' that is formed by the confluence of the superior margins of the brachiocephalic veins, the 'ring around artery sign' that results from air outlining the pulmonary artery and the main branches, the 'double bronchial wall sign' formed by air outlining the bronchi, air in the pulmonary ligament and irregular bilateral apical extrapleural air.
Compressive atelectasis of the lower lobe was seen with flattening of hemidiaphragm