Brief Answer: due to curvature of the spine Detailed Answer: HI, thanks for using healthcare magic As you mentioned in your medical history there is scoliosis of the spine, the curvature is towards the right. Because of this curvature there is an apparent increase in height in the right hemidiaphragm. This is the reason your doctor did not mention it, the apparent difference is due to the scoliosis, the curvature makes it appear higher. The radiographer (the doctor who would have read the x ray) and your doctor would not consider this significant. I hope this helps, feel free to ask any other questions

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Brief Answer: arthritic changes seen Detailed Answer: HI The film exposure is not the best, this means that it is difficult to distinguish soft tissue from bone. In the neck , however,at the lower aspect, there is some evidence of arthritic changes. Please feel free to ask anything else

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Brief Answer: no rib fractures Detailed Answer: HI In terms of the phrenic nerve dysfunction, there are different causes and in most persons a specific cause can be pinpointed such as trauma, inflammation secondary to previous infection, the presence of a mass, neuromuscular disease (disease of nerves and muscles). Though some persons may not have symptoms, other would have shortness of breath because the elevated diaphragm is affecting lung expansion. In most cases , if one diaphragm is elevated more than 2 cm compared to the other, it is said to be elevated but with the spinal curvature ,this cannot be used. The radiologist would have indicated, since it is his or her speciality if there was anything significant with the diaphragm. There are also no cracked ribs. In terms of the shoulder, there is no evidence of any fractures, dislocations or major injury If you remain unsure you can consider repeat x rays for a second look

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