Pseudomass of the left upper quadrant from inversion of the left hemidiaphragm: CT diagnosis

Abstract

Two cases of inversion of the left hemidiaphragm due to a large pleural effusion and presenting with dysphagia were diagnosed by computed tomographic (CT) scanning. The relationship of the dysphagia to the diaphragmatic inversion, a differential Address reprint requests to." of the causes of this entity, and the role of CT in its diagnosis are discussed.The clinical and radiological findings of a large pleural effusion have been well described in the literature. Fig. 1. A A large left pleural effusion and metastatic nodules in the right lung are seen on chest X-ray. B The stomach is displaced inferomedially by a left upper quadrant mass

Consecuencias del derrame pleural

“…Puede originar disnea, generalmente intensa, una masa abdominal palpable, dolor, distensión abdominal y disfagia si es en el lado izquierdo. Estos síntomas y signos clínicos desaparecen al drenar el líquido pleural (20,21,26).…”