Pediatric Diaphragm Eventration

Etiology: congenital lack of muscle fibers in the diaphragm
Imaging: focal elevation of the hemidiapragm, hemidiaphragm does show movement on fluoroscopy and ultrasound
Treatment: excision of fibrous portion of diaphragm

Radiology Cases of Diaphragm Eventration

CXR and CT of diaphragm eventration — CXR PA and lateral (above) shows a right sided anteromedial opacity that obscures the right heart border on the PA image and the anterior portion of the right hemidiaphragm on the lateral image. Fluoroscopy showed the opacity to move synchronously with the diaphragm during normal respiration. Axial CT with contrast of the chest (below) shows the source of the opacity to be the liver positioned within the anteromedial lower right hemithorax.