Elevated right hemidiaphragm: post lobectomy
Annual chest radiograph obtained to monitor disease progression following lobectomy of a right upper lobe adenocarcinoma.
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Frontal plain radiograph showing an elevated right hemidiaphragm post right upper lobectomy.
Note how the right hilum is pulled up to the same position as the left ( usually it will be lower ).
Multiple old left sided rib fractures.
Residual lungs clear.
There are numerous etiologies of an elevated right hemidiaphragm. Post-op lobectomy is one of the differential diagnosis to bear in mind with regards to causes originating above the diaphragm.