Abnormal sniff test

Case contributed by Dr Craig Hacking

Presentation

Previous PTX and VATS. Progressive dyspnoea, ? phrenic nerve injury during surgery

Patient Data

Age: 40
Gender: Male
Modality: Fluoroscopy

During normal breathing, there is reduced movement of the right hemidiaphragm compared to the the left. During sniffing there is paradoxical movement of the right hemidiaphragm. Normal movement of the left hemidiaphragm is seen.

Conclusion:

Findings consistent with right hemidiaphragm palsy.

Case Discussion

Good example of diaphragm paralysis due to phrenic nerve palsy.

See sniff test for a description of the procedure.

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Case Information

rID: 35787
Case created: 23rd Apr 2015
Last edited: 28th Aug 2015
System: Chest
Inclusion in quiz mode: Included

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