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Special Feature |

Image of the Month—Quiz Case FREE

Suraj Alva, MD; Neetha Shetty-Alva, MD, MS; Walter E. Longo, MD
[+] Author Affiliations

Author Affiliations:Department of Surgery, Yale University School of Medicine, New Haven, Connecticut.


Section Editor: Grace S. Rozycki, MD, MBA


Arch Surg. 2008;143(1):93. doi:10.1001/archsurg.2007.12-a.
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Published online

A 71-year-old man with non-Hodgkin lymphoma underwent positron emission tomography with computed tomography (PET-CT) for restaging of his disease. Before PET-CT was performed, the patient underwent an upright chest radiograph examination (Figure 1). He was asymptomatic at the time of examination, and the results of the physical examination were unremarkable. The chest radiograph and PET-CT images are shown in Figure 1and Figure 2.

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Figure 1.

Interposition of the bowel between the liver and right hemidiaphragm.

Graphic Jump Location

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Figure 2.

Positron emission tomography with computed tomographic scan demonstrates the colon interposed between the liver and diaphragm.

Graphic Jump Location

WHAT IS THE DIAGNOSIS?

A. Morgagni hernia

B. Subdiaphragmatic abscess

C. Pneumoperitoneum

D. Chilaiditi sign or syndrome

Figures

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Figure 1.

Interposition of the bowel between the liver and right hemidiaphragm.

Graphic Jump Location
Place holder to copy figure label and caption
Figure 2.

Positron emission tomography with computed tomographic scan demonstrates the colon interposed between the liver and diaphragm.

Graphic Jump Location

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The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
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