Right hemithorax is filled with cystlike structures (loops of bowel), the mediastinum is shifted to the left, and the abdomen is relatively devoid of gas, findings consistent with congenital diaphgramatic hernia
While a Congenital Diaphragmatic Hernia can occur as an isolated condition, associated anomalies are relatively common and include :- pulmonary hypoplasia : also a complication bronchopulmonary sequestration aneuploidy : can be present in up to 50 % of cases ref trisomy 13 trisomy 18 trisomy 21 Turner syndrome - monosomy X Pallister-Killian syndrome - tetrasomy 12p Fryns syndrome Cornelia de Lange syndrome congenital cardiac anomalies neural tube defects anencephaly spina bifida
Chest radiograph findings usually are ;- indistinct diaphragm with opacification of part of or all the hemithorax (typically left sided) scaphoid abdomen deviation of lines 3 endotracheal tube nasogastic tube umbilical arterial and venous catheters