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Case of the Week 463 
What is the most likely diagnosis?
- 56 year-old with abdominal pain
Frontal Chest Radiograph
- Free-air in the abdomen
- Subphrenic abscess
- Subpulmonic effusion
- Situs inversus with dextrocardia
- Colonic interposition
Additional Image - Close-up
Additional Images
Close-up
Answer:
5.Colonic Interposition between Diaphragm and Liver (Chilaiditi's Syndrome)
More (Click Discussion Tab)
Colonic Interposition between Diaphragm and Liver (Chilaiditi's Syndrome)
General Considerations
- Pronounced “Ky-La-Ditty”
- Refers to the usually asymptomatic interposition of the bowel (usually hepatic flexure of the colon) between the liver and the (right) hemidiaphragm
- Seen in 0.1-0.25% of chest x-rays
- Most frequently an incidental finding
MORE . . .
.
This Week
56 year-old with abdominal pain |
Presented as a series of cards, this podcast asks some of the most common causes of neuroimaging findings and diseases making it ideal for a quick review. Can be used as either an audio only or audio/video podcast.; Complements Video Flashcard Podcasts 15, 21,25, 38, 42, 46 and 47. |
Some of the fundamentals of interpreting chest images |
The top diagnostic imaging diagnoses that all medical students should recognize according to the Alliance of Medical Student Educators in Radiology |
Recognizing normal and key abnormal intestinal gas patterns, free air and abdominal calcifications |
Recognizing the parameters that define a good chest x-ray; avoiding common pitfalls |
How to recognize the most common arthritides |
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LearningRadiology
Named Magazine's
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| LearningRadiology.com |
is an award-winning educational website aimed primarily at medical students and radiology residents-in-training, containing lectures, handouts, images, Cases of the Week, archives of cases, quizzes, flashcards of differential diagnoses and “most commons” lists, primarily in the areas of chest, GI, GU cardiac, bone and neuroradiology. |
