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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Elevation In Diaphragm And Enlargement Of Heart?

Dear Dr, I am 30 years Male. I had productive cough in morning for last 2 months and I was suffering from sinusitis also. The sputum was green. Now the cough is gone and only sinusitis remains, no that much sputum. I done a chest x-ray last week which came normal. However doctor told a elevation in Diaphragm and enlagement of heart. What will be the reason of this?. Active Pulmonoray TB not there, but will it be Miliary TB symptom or Amoebic Liver Abscess or anything else?? Please advice me for the next step
Mon, 1 Oct 2018
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Pulmonologist 's  Response
Hello,

No need to worry for miliary TB as it reflects differently on chest x ray. Elevated diaphragm is mostly because of abdominal pathology.
So in my opinion, you should definitely get done ultrasound examination of abdomen to rule out abdominal pathology.

For cardiomegaly on chest X-ray, get done 2D echo.
If ultrasound abdomen and 2D echo are normal then no need to worry much for chest X-ray findings.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Kaushal Bhavsar, Pulmonologist
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What Causes Elevation In Diaphragm And Enlargement Of Heart?

Hello, No need to worry for miliary TB as it reflects differently on chest x ray. Elevated diaphragm is mostly because of abdominal pathology. So in my opinion, you should definitely get done ultrasound examination of abdomen to rule out abdominal pathology. For cardiomegaly on chest X-ray, get done 2D echo. If ultrasound abdomen and 2D echo are normal then no need to worry much for chest X-ray findings. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Kaushal Bhavsar, Pulmonologist