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Chilaiditi syndrome

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Shortness of breath and fever. LRTI?

Patient Data

Age: 56
Gender: Female
x-ray

Colonic interposition beneath the right hemidiaphragm.

Previous left mastectomy and ANC.

Right upper lobe fibrosis.

Case Discussion

Chiaiditis syndrome in which colon interposes beneath the diaphragm can be mistake for a pneumoperitoneum.

In this case the haustral markings are well delineated indicating colon between the diaphragm and liver.

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