PMC7676972_01
(a) Chest radiograph prior to surgery showing elevation of right hemidiaphragm. (b) Chest radiograph immediately after surgery demonstrating expansion of the right lung field with small basilar pneumothorax and minimal subcutaneous emphysema. (c) Chest radiograph one-month postoperatively demonstrating continued increased right hemithorax volumes with excellent lung expansion.
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fig1
During his critical care stay, radiographs demonstrated a progressive clearing of his lung fields as well as persistent elevation of his right hemidiaphragm (Figure 1(a)). He was transitioned off-tube feeds over the next 10 days and was discharged home on postoperative day 12 (Figure 1(b)).
Image of diaphragm flattened following vertical row of sutures, slight dome shape is noted, however, not under any remarkable tension.
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fig2
At the completion of this step, the diaphragm was noted to be reasonably flat with only the slightest dome shape, though not under any remarkable tension at rest (Figure 2).