Giant liver tumor causing dyspnea upon exertion

Abstract

Key Clinical MessageAsymptomatic elevation of the right hemidiaphragm should always raise suspicion of a silent hepatic tumor. Prompt multimodality imaging plays a critical role in the identification of this entity; high clinical suspicion is the key element for diagnosis of a possible hepatic tumor.

Elevated Right Hemidiaphragm: A Clue in Acute Cholecystitis?

“…The possible aetiologies are classified by location -whether they are above, below or directly involving the diaphragm [2]. Intra-abdominal causes of raised right hemidiaphragm include infective collections such as hepatic and subphrenic abscesses [3][4][5][6], neoplasms such as hepatocellular carcinoma [7,8] or rare tumours such as solitary fibrous tumour [9]. These lesions are typically large and exert a mass effect pushing up the right hemidiaphragm.…”