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Fig. 5 | Egyptian Journal of Radiology and Nuclear Medicine

Fig. 5

From: Diagnostic accuracy of the trans-abdominal ultrasound in the assessment of dysfunctional hemidiaphragm due to non-pulmonic etiology

Fig. 5

aj US images for a 52-year-old male patient with a history of cardiothoracic surgery 6 months ago presented with elevated left copula of the diaphragm in his CT. a, b US images—anterior subcostal view (a) and intercostals view (b) showing normal US appearance of both hemidiaphragms with no defect detected on either side. c, d US image using superficial probe through an intercostal view showing a diaphragmatic thickness (RT = 1.9 mm (c, between the red dots)/LT = 1.3 mm {thin, atrophic } (d, between the red dots)) with a thickening fraction (RT = 45%/LT = 10%). ej Anterior subcostal and intercostal views used for assessment of diaphragmatic excursion (RT = 2.1 cm in normal breathing (e, between red dots)/= 5 cm in deep breathing (g, between the red dots)/=4 cm in sniffing (i, between the red dots) and the left side showed absent movement in normal (f), deep breathing (h), and sniffing (j). Findings were consistent with left hemidiaphragmatic paralysis to be likely a postoperative sequlae

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