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PEDIATRICS Vol. 112 No. 6 December 2003, pp. e487-e490

EXPERIENCE AND REASON

Diaphragmatic Hernia Simulating a Left Pleural Effusion

Jamie L. Wooldridge, MD*, David A. Partrick, MD{ddagger}, Denis D. Bensard, MD{ddagger} and Robin R. Deterding, MD*

* Departments of Pediatrics
{ddagger} Surgery, Children’s Hospital, Denver, Colorado

We review a case of a diaphragmatic hernia simulating on chest radiograph left lower lobe pneumonia and associated pleural effusion. We also characterize the atypical chest radiographic findings of this patient and recommend further imaging with computed tomography in unusual patient presentations.

Key Words: Bochdalek hernia • pneumonia • parapneumonic effusion • empyema • thoracentesis

Received for publication Apr 18, 2003; Accepted Jul 14, 2003.