Congenital diaphragmatic hernia chest x ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Classic findings: left hemithorax is filled with cystlike structures (loops of bowel), the mediastinum is shifted to the right, and the abdomen is relatively devoid of gas.
If the chest radiograph is obtained before any air has entered the herniated bowel, diagnosing this condition with accuracy may be difficult. Similar difficulty arises when the liver alone is in the right hemithorax. In either case, the involved hemithorax is partially or totally opacified.