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Case of the Week 612 
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
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
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56 year-old with abdominal pain |
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