Post on 16-Apr-2017
Enumerate the causes of ELEVATED HEMIDIAPHRAGM
DR. CHIRANJIB MURMU,RESIDENT, RADIOLOGY
Bilateral Unilateral
Bilateral : Reduced pulmonary compliance: fibrosing alveolitis, lymphangitis carcinomatosis
Technical causes: supine film, expiratory film, post op pain
Sub-diaphragmatic pathology: ascites, obesity, pregnancy, bowel distension
Unilateral: Paralysis: surgery, trauma, idiopathic, radiotherapy, neoplastic, DM, TB, infection, HZV.
Congenital: eventration, humps.
Pulmonary : collapse, hypoplasia, pneumonectomy, embolism, basal pneumonia
Pleural: thickening, pleurisy, sub pulmonary effusion.
Bony: scoliosis, rib fracture
Sub-diaphragmatic pathology: gas distended viscus, sub phrenic abscess, pancreatitis, abdominal mass, hepato-splenomegaly