Medical image of the month: diaphragmatic eventration

Abstract

No abstract available. Article truncated after 150 words. Clinical Presentation: A 66-year-old woman presented with a three-year history of progressive postprandial dyspnea and left-sided abdominal pain. Physical exam revealed normal vital signs and bowels sounds over left lung fields on auscultation. Laboratory work revealed a mild normocytic anemia. Imaging demonstrated marked left hemidiaphragm elevation with ipsilateral lung parenchyma volume loss and atelectasis along with a mild contralateral mediastinal shift. A sniff test was consistent with left hemidiaphragm paralysis. The patient underwent a left video-assisted thoracoscopy, and the left hemidiaphragm was noted to be so thin that the abdominal organs could be visualize through it. The central tendon of the left hemidiaphragm was extremely attenuated and larger than normal. The left hemidiaphragm muscle fibers were noted to be situated around the periphery and not providing any significant tension. The redundant left hemidiaphragm central tendon was excised, and the patient was discharged without symptoms one week later. Discussion: Eventration of …

Keywords

• diaphragmatic eventration
• eventration
• chest x-ray
• ct scan
• congenital
• sniff test
• trauma
• treatment
• diaphragmatic rupture
• bochdalek