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August 2004

By Theodore E. Keats, MD

 

This two-day-old boy is brought to the emergency department in respiratory distress. What is your interpretation of his chest film?

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ANSWER

The diagnosis is left diaphragmatic hernia. Multiple loops of air-filled bowel are evident in the left hemithorax, with resulting displacement of the mediastinal structures to the right. This condition is often associated with hypoplasia of the underlying lung. 


 

This series of diagnostic quizzes that challenge your ability to read a variety of x-ray films is edited by Dr. Keats, alumni professor of radiology at the University of Virginia School of Medicine in Charlottesville.

Emerg Med 36(8):45, 2004  




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