Letter E

Elevated hemidiaphragm

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Elevation of half of the diaphragm, the muscle that separates the chest cavity from the abdomen and that serves as the main muscle of respiration.

The elevation of a hemidiaphragm is a significant sign of a problem.</P> That problem may lie below, within or above the diaphragm: > >Below the diaphragm -- In the abdomen there may be a cyst, an infection or abscess (filled with pus), hematoma (collection of blood), a tumor, or abdominal surgery.<BR> >In the diaphragm -- The hemidiaphragm may be paralyzed or lax because of damage to the phrenic nerve (that controls the diaphragm) or infiltration of the diaphragm by lung cancer or another tumor.

>Above the chest -- In the chest there may be atelectasis (lung collapse), lung fibrosis, painful pleurisy, pulmonary embolus, or a rib fracture.</LI></UL>An elevated hemidiaphragm may be suspected on the physical examination and confirmed on an X-ray or CT of the chest or upper abdomen.

It is also called a raised hemidiaphragm.

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