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Special Feature
January 01, 2008

Image of the Month—Quiz Case

Author Affiliations

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

 

Grace S.RozyckiMD, MBA

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

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.

Figure 1.
Interposition of the bowel between the liver and right hemidiaphragm.

Interposition of the bowel between the liver and right hemidiaphragm.

Figure 2.
Positron emission tomography with computed tomographic scan demonstrates the colon interposed between the liver and diaphragm.

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

What Is the Diagnosis?

A. Morgagni hernia

B. Subdiaphragmatic abscess

C. Pneumoperitoneum

D. Chilaiditi sign or syndrome

Answer

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