A middle aged patients presents with the complaints of right hemidiaphragm was seen. All of the following are the possible diagnoses except: (A) Subphrenic abscess, (B) Acute cholecystitis, (C) Pyogenic liver abscess, (D) Amoebic liver abscess in right lobe
Answer is B. Causes of elevated Hemidiaphragm Above the diaphragm Decreased lung volume Atelectasis/Collapse Lobectomy/pneumonectomy Pulmonary hypoplasia Diaphragm Phrenic nerve palsy Diaphragmatic eventration Contralateral CVA: Usually MCA distribution Below the Diaphragm Abdominal tumor Subphrenic abscess Liver abscess (Amoebic and pyogenic) Ref: Sabiston 20th edition Pgno : 1493