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24) Radiographic findings include hyperlucency in the lower chest, depression of the ipsilateral diaphragm and deepening of the lateral costophrenic sulcus.
Her chest x-ray showed blunting of the left costophrenic angle and her abdominal x-ray showed multiple dilated small bowel loops with faecal loading in the descending colon.
On chest X-ray costophrenic sinuses were bilaterally blunted, heterogenous infiltrations with multiple irregular nodular patterns were present in the lower lung fields peripherally and on both sides (Figure 1-A).
Radiographic changes on CXR associated with COPD are irregular radiolucency of the lung fields, diaphragmatic flattening with blunting of the costophrenic angles, a rapid tapering and peripheral absence of vascular markings and an increased retrosternal airspace seen on the lateral chest film.
A chest radiograph demonstrated bilateral alveolar and interstitial opacities, blunting of the costophrenic angles bilaterally, and bilateral pleural effusions.
Radiological evaluation revealed that costophrenic angle obliteration after operation more often occurred in Group 2 (14/28 patients) than in Group 1 (0/26 patients) (p<0.
The 'dependent viscera sign' The dependent viscera sign is seen with diaphragmatic rupture when there is loss of the posterior support of the diaphragm, allowing the viscera to drop against the posterior ribs and obliterating the posterior costophrenic recess.
Chest x-ray revealed subcutaneous emphysema over the lower neck region, atelectasis of the right lower lung field, and bilateral blunting of the costophrenic angle (Fig.