MCQ – 89208


A 27-year-old man has been involved in a high-speed road traffic accident. There is significant diagonal bruising over the abdomen, due to the wearing of a seat belt. He is haemodynamically stable, but complains of severe abdominal pain and a CT of the chest and abdomen is performed. Which one of the following radiographic signs on a CXR would be most likely to suggest a right-sided diaphragmatic injury?


A nasogastric tube coiled within the left hemithorax


A right pleural effusion


Elevated left hemidiaphragm


Mediastinal shift towards the left

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