Elevated hemidiaphragm
Disclosures
- updated 31 Aug 2022:
Nothing to disclose
Updates to Article Attributes
Body
was changed:
An elevated hemidiaphragm may result from direct and indirect causes which include:
-
above the diaphragm 1
-
decreased lung volume
-
-
diaphragm 3-7
-
below the diaphragm 8
abdominal tumour, e.g. liver metastases or primary malignancy
-
organomegaly
-
distended hollow viscus e.g. stomach or colon
, including
Differential diagnosis
Other situations which may mimic an elevated hemidiaphragm include:
See also
-<li>above the <a href="/articles/diaphragm">diaphragm</a> <sup>1</sup><ul><li>decreased lung volume<ul>-<li><a href="/articles/lung-atelectasis">atelectasis/collapse</a></li>-<li>prior <a href="/articles/lobectomy-lung">lobectomy</a> or <a href="/articles/pneumonectomy">pneumonectomy</a>-</li>-<li><a href="/articles/pulmonary-hypoplasia">pulmonary hypoplasia </a></li>- +<li>
- +<p>above the <a href="/articles/diaphragm">diaphragm</a> <sup>1</sup></p>
- +<ul><li>
- +<p>decreased lung volume</p>
- +<ul>
- +<li><p><a href="/articles/lung-atelectasis">atelectasis/collapse</a></p></li>
- +<li><p>prior <a href="/articles/lobectomy-lung">lobectomy</a> or <a href="/articles/pneumonectomy">pneumonectomy</a></p></li>
- +<li><p><a href="/articles/pulmonary-hypoplasia">pulmonary hypoplasia</a></p></li>
- +<li><p><a href="/articles/pulmonary-fibrosis" title="Pulmonary fibrosis">pulmonary fibrosis</a></p></li>
-<li>diaphragm <sup>3-7</sup><ul>-<li><a href="/articles/phrenic-nerve-palsy">phrenic nerve palsy</a></li>-<li><a href="/articles/diaphragmatic-eventration">diaphragmatic eventration </a></li>-<li>contralateral <a href="/articles/stroke">stroke</a>: usually <a href="/articles/middle-cerebral-artery-mca-infarct">middle cerebral artery (MCA) distribution</a>- +<li>
- +<p>diaphragm <sup>3-7</sup></p>
- +<ul>
- +<li><p><a href="/articles/phrenic-nerve-palsy">phrenic nerve palsy</a></p></li>
- +<li><p><a href="/articles/compressive-myelopathy" title="Cervical myelopathy">cervical myelopathy</a></p></li>
- +<li><p><a href="/articles/neuromuscular-disease" title="neuromuscular disease">neuromuscular disease</a> <sup>11</sup></p></li>
- +<li><p><a href="/articles/diaphragmatic-eventration">diaphragmatic eventration</a></p></li>
- +<li>
- +<p>contralateral <a href="/articles/stroke">stroke</a></p>
- +<ul><li><p>usually <a href="/articles/middle-cerebral-artery-mca-infarct">middle cerebral artery (MCA) distribution</a></p></li></ul>
-<li>below the diaphragm <sup>8</sup><ul>-<li>abdominal tumour, e.g. <a href="/articles/hepatic-metastases-1">liver metastases</a> or primary malignancy</li>-<li><a href="/articles/subphrenic-abscess">subphrenic abscess </a></li>-<li>distended stomach or colon, including <a href="/articles/chilaiditi-sign">Chilaiditi sign/syndrome</a>-</li>- +<li>
- +<p>below the diaphragm <sup>8</sup></p>
- +<ul>
- +<li><p>abdominal tumour, e.g. <a href="/articles/hepatic-metastases-1">liver metastases</a> or primary malignancy</p></li>
- +<li><p><a href="/articles/subphrenic-abscess">subphrenic abscess</a></p></li>
- +<li>
- +<p>organomegaly</p>
- +<ul>
- +<li><p><a href="/articles/hepatomegaly" title="Hepatomegaly">hepatomegaly</a></p></li>
- +<li><p><a href="/articles/splenomegaly" title="splenomegaly">splenomegaly</a> <sup>12</sup></p></li>
-</ul><h4>Differential diagnosis</h4><p>Other situations which may mimic an elevated hemidiaphragm include:</p><ul>-<li><a href="/articles/subpulmonic-effusion">subpulmonic effusion </a></li>-<li><a href="/articles/diaphragmatic-hernia">diaphragmatic hernia</a></li>-<li><a href="/articles/diaphragmatic-rupture">diaphragmatic rupture</a></li>-<a title="tumour of the pleura" href="/articles/tumour-of-the-pleura">tumour of the pleura</a> or <a title="tumour of the diaphragm" href="/articles/tumour-of-the-diaphragm">tumour of the diaphragm</a>- +<p>distended hollow viscus e.g. stomach or colon</p>
- +<ul><li><p><a href="/articles/chilaiditi-sign">Chilaiditi sign/syndrome</a></p></li></ul>
- +</ul>
- +</li>
- +</ul><h4>Differential diagnosis</h4><p>Other situations which may mimic an elevated hemidiaphragm include:</p><ul>
- +<li><p><a href="/articles/subpulmonic-effusion">subpulmonic effusion</a></p></li>
- +<li><p><a href="/articles/diaphragmatic-hernia">diaphragmatic hernia</a></p></li>
- +<li><p><a href="/articles/diaphragmatic-rupture">diaphragmatic rupture</a></p></li>
- +<li><p><a href="/articles/malignant-pleural-disease" title="Pleural malignancy">pleural malignancy</a></p></li>
- +<li><p><a href="/articles/diaphragmatic-tumor" title="diaphragm tumor">diaphragmatic tumour</a> <sup>10</sup></p></li>
-<li><a href="/articles/elevated-diaphragm">elevated diaphragm</a></li>-<li><a href="/articles/diaphragmatic-dysfunction">diaphragmatic dysfunction</a></li>- +<li><p><a href="/articles/elevated-diaphragm">elevated diaphragm</a></p></li>
- +<li><p><a href="/articles/diaphragmatic-dysfunction">diaphragmatic dysfunction</a></p></li>
References changed:
- 9. Nason L, Walker C, McNeeley M, Burivong W, Fligner C, Godwin J. Imaging of the Diaphragm: Anatomy and Function. Radiographics. 2012;32(2):E51-70. <a href="https://doi.org/10.1148/rg.322115127">doi:10.1148/rg.322115127</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/22411950">Pubmed</a>
- 10. Guo C, Liu L, Zhang J et al. Analysis of Clinicopathological Features of Primary Diaphragm Tumors: A Single‐center Study. Thorac Cancer. 2021;12(12):1810-3. <a href="https://doi.org/10.1111/1759-7714.13988">doi:10.1111/1759-7714.13988</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/33943027">Pubmed</a>
- 11. Hynås I, Ganes T, Naalsund A. [Acute Respiratory Failure Caused by Myotonic Dystrophy]. Tidsskr Nor Laegeforen. 2001;121(19):2278-9. - <a href="https://www.ncbi.nlm.nih.gov/pubmed/11571880">Pubmed</a>
- 12. Ziakas P, Voulgarelis M, Felekouras E, Anagnostou D, Tzelepis G. Myelofibrosis-Associated Massive Splenomegaly: A Cause of Increased Intra-Abdominal Pressure, Pulmonary Hypertension, and Positional Dyspnea. Am J Hematol. 2005;80(2):128-32. <a href="https://doi.org/10.1002/ajh.20388">doi:10.1002/ajh.20388</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/16184577">Pubmed</a>
Tags changed:
- differential
- chest imaging
Unable to process the form. Check for errors and try again.