Shortness of breath and fever. LRTI?
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Colonic interposition beneath the right hemidiaphragm.
Previous left mastectomy and ANC.
Right upper lobe fibrosis.
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.