Presentation
Dyspnea, cough and fever.
Patient Data
Age: 90 years
Gender: Male
From the case:
Chilaiditi sign
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Gas beneath the right hemidiaphragm, but bowel markings are evident.
Increased opacity of the right lung is appreciated.
Case Discussion
The chilaiditi sign refers to the usually asymptomatic interposition of the bowel (usually hepatic flexure of the colon) between the liver and the (right) hemidiaphragm. It is important to appropriately recognize it because it can mimick a pneumoperitoneum.
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