Diaphragmatic paralysis x ray

Diaphragmatic Paralysis Microchapters
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Mahda Alihashemi M.D. [2]

Overview

An x-ray is helpful in the diagnosis of diaphragmatic paralysis. Findings on an x-ray suggestive of unilateral diaphragmatic paralysis include elevated hemidiaphragm in the paralysed side, small lung volumes. Findings on an x-ray suggestive of bilateral diaphragmatic paralysis include smooth elevation of the hemidiaphragms and atelectasis at the lung base

X Ray

Unilateral diaphragmatic paralysis:

• An x-ray is helpful in the diagnosis of unilateral diaphragmatic paralysis . Findings on an x-ray diagnostic of unilateral diaphragmatic paralysis include:
  • Elevated hemidiaphragm in paralysed side
  • Small lung volumes
  • Atelectasis

Left hemidiaphragm paralysis after cardiac surgery - Case courtesy of Dr Henry Knipe, via Radiopaedia.org

Bilateral diaphragmatic paralysis:

• Findings on an x-ray suggestive of bilateral diaphragmatic paralysis include:
  • Smooth elevation of both hemidiaphragms
  • Small lung volumes
  • Atelectasis at the lung base