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What Causes Shortness Of Breath And Elevated Right Hemidiaphragm?

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Posted on Mon, 30 Mar 2015
Question: I went to er the other day for shortness of breath and they did all the test and they said they came back ok but on the report it said I had a Elevated right hemidiaphragm whats that and should I look into it further
blood tests ekg x-ray all clear except for what I mentioned before
doctor
Answered by Dr. Tushar Kanti Biswas (41 minutes later)
Brief Answer:
Elevated right hemidiaphragm & Shortness of breath

Detailed Answer:
Hi,

Thank you for your query. I can understand your concerns.
Shortness of breath-the possibilities are:
P E (Pulmonary embolism) : A normal chest X-ray in acutely breathless and hypoxemic patients increases the likelihood of P E. Features-may be raised diaphragm, which moves poorly on inspiration.
Other causes of Raised RT dome of the diaphragm:
1.     Subpulmonic effusion
2.     Eventration of diaphragm
3.     Paralysis of dome of diaphragm (phrenic nerve palsy)
4.     Subphrenic abscess /hepatic SOL(space occupying lesions).
You need clinical evaluation and further investigation as dictated .

Regards

Dr. T.K. Biswas M.D. XXXXXXX
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Raju A.T
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Answered by
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Dr. Tushar Kanti Biswas

Internal Medicine Specialist

Practicing since :1975

Answered : 1920 Questions

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What Causes Shortness Of Breath And Elevated Right Hemidiaphragm?

Brief Answer: Elevated right hemidiaphragm & Shortness of breath Detailed Answer: Hi, Thank you for your query. I can understand your concerns. Shortness of breath-the possibilities are: P E (Pulmonary embolism) : A normal chest X-ray in acutely breathless and hypoxemic patients increases the likelihood of P E. Features-may be raised diaphragm, which moves poorly on inspiration. Other causes of Raised RT dome of the diaphragm: 1. Subpulmonic effusion 2. Eventration of diaphragm 3. Paralysis of dome of diaphragm (phrenic nerve palsy) 4. Subphrenic abscess /hepatic SOL(space occupying lesions). You need clinical evaluation and further investigation as dictated . Regards Dr. T.K. Biswas M.D. XXXXXXX