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The diaphragm typically appears as two separate, curved outlines (hemidiaphragms) on a chest X-ray due to the heart and mediastinum obscuring its central portion. When air accumulates in the mediastinum or peritoneal cavity, it outlines the diaphragm, making its central portion visible and creating the appearance of a continuous line. [4]
An X-ray of a human chest area, with some structures labeled. The contents of the thorax include the heart and lungs (and the thymus gland); the major and minor pectoral muscles, trapezius muscles, and neck muscle; and internal structures such as the diaphragm, the esophagus, the trachea, and a part of the sternum known as the xiphoid process.
Chest X-ray is known to be unreliable in diagnosing diaphragmatic rupture; [4] it has low sensitivity and specificity for the injury. [5] Often another injury such as pulmonary contusion masks the injury on the X-ray film. [6] Half the time, initial X-rays are normal; in most of those that are not, hemothorax or pneumothorax is present. [4]
A chest radiograph, chest X-ray (CXR), or chest film is a projection radiograph of the chest used to diagnose conditions affecting the chest, its contents, and nearby structures. Chest radiographs are the most common film taken in medicine.
Chilaiditi syndrome is a rare condition when pain occurs due to transposition of a loop of large intestine (usually transverse colon) in between the diaphragm and the liver, visible on plain abdominal X-ray or chest X-ray. [1] Normally this causes no symptoms, and this is called Chilaiditi's sign. The sign can be permanently present, or ...
Pleural effusion, in which there is fluid abnormally present between the two pleurae of the lungs, is detected by an X-ray of the chest, showing fluid collecting in the angle between the ribs and diaphragm. [19] An X-ray may also be used to reveal a pneumoperitoneum, in which there is gas in the abdomen. An X-ray may also be used to check for ...
A) Normal chest radiograph; B) Q fever pneumonia affecting the right lower and middle lobes. Note the loss of the normal radiographic silhouette (contour) between the affected lung and its right heart border as well as between the affected lung and its right diaphragm border. This phenomenon is called the silhouette sign: Differential diagnosis
Diaphragmatic breathing, paradoxical movement of the diaphragm outwards during inspiration; Intercostal indrawing; Decreased chest–chest movement on the affected side; An increased jugular venous pressure, indicating possible right heart failure [5] The anterior and posterior chest wall are also inspected for any abnormalities, which may include: