Presentation
Short history of upper abdominal discomfort.
Patient Data
Age: 25 years
Gender: Female
From the case:
Small pneumoperitoneum
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Slither of free gas beneath the right hemidiaphragm.
Heart size normal. Lungs clear.
Case Discussion
Always check beneath the diaphragm as a review area on a plain chest radiograph.
This is a pretty small one and could easily be overlooked.
A film worthy of a rapid reporting exam.