PMC5857303_01
Preoperative chest radiograph in a 64-year-old man with right-sided stenosis at C3/4 and C4/5 demonstrating an elevated right hemidiaphragm.
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Chest radiograph revealed an elevated right hemidiaphragm (Figures 1 and 2).
Preoperative AP and oblique cervical spine radiographs showing degenerative spondylosis.
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Chest radiograph revealed an elevated right hemidiaphragm (Figures 1 and 2).
Preoperative T2-weighted sagittal MRI scan at the C3/4 level with corresponding axial sequence illustrating right-sided foraminal stenosis due to a combination of disc bulge, uncovertebral osteophyte, and facet joint hypertrophy.
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An MRI scan was undertaken which showed right-sided cervical foraminal stenosis (with uncovertebral and facet joint osteophytic changes at C3/4 and C4/5) (Figure 3).
Preoperative CT scan of the cervical spine with sagittal slice and corresponding axial slice at the C3/4 level illustrating right-sided foraminal stenosis.
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Chest radiograph three months postoperatively showing resolution of right hemidiaphragm paralysis.
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By three months postoperatively, his hemidiaphragm paralysis had completely resolved on chest radiograph, and his shortness of breath had also improved (Figure 5).
Comparison of preoperative and postoperative spirometry results showing marked improvement in respiratory function.
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A graphic representation of these findings is shown in Figure 6.