Related Experiment Video
Updated: Oct 8, 2025

Diaphragmatic Ultrasound in Adults: Image Acquisition and Interpretation
Published on: January 31, 2025
Air under the diaphragm-perforation or Chilaiditi sign?
Shobha Mandal1, Sneha Singh1, Barun Kumar Ray2
1Department of Internal Medicine, Guthrie Robert Packer Hospital, Sayre, Pennsylvania.
Abstract:
Chilaiditi sign is a rare radiological finding in which the colon is interposed between the liver and the abdominal wall. Once patients become symptomatic, the condition is called Chilaiditi syndrome. We discuss a unique patient who presented with intermittent abdominal pain for 2 years that worsened 6 months before presentation. Her radiological evaluation revealed Chilaiditi sign. She was treated conservatively and the sign resolved. We emphasize the importance of conservative management in Chilaiditi syndrome.
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