Elevated right hemidiaphragm: post lobectomy

Case contributed by Dr Arnold Dumuje

Presentation

Annual chest radiograph obtained to monitor disease progression following lobectomy of a right upper lobe adenocarcinoma.

Patient Data

Age: 63
Gender: Male

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.

Case Discussion

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.

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Case information

rID: 51401
Case created: 14th Feb 2017
Last edited: 15th Feb 2017
System: Chest
Inclusion in quiz mode: Included

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