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Abnormal gas pattern under diaphragm
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  1. Devasmitha Venkataraman,
  2. Rachael Harrison,
  3. Stephen Warriner
  1. Paediatrics Department, Portsmouth Hospitals NHS Trust, Portsmouth, UK
  1. Correspondence to Dr Devasmitha Venkataraman, dr_devasmitha{at}yahoo.co.uk

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Description

A 3-year-old boy presented with a week’s history of fever, cough and mild shortness of breath, with no history of previous recurring chest or abdominal symptoms. His chest examination demonstrated basal crepts, and his abdominal examination was normal. Chest radiograph showed generalised inflammatory changes in lung fields and a radiolucent shadow under the right diaphragm with some haustral marking suggestive of interposition of colon between the diaphragm and liver (figure 1). This x-ray finding is called …

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