PMC3566936_01
Frontal projection screening fluoroscopy images of the patient's diaphragms during spontaneous ventilation in Lyme neuroborreliosis. At the time when the patient's dyspnoea developed (Panel A), there was no significant change in the position and shape of the left hemidiaphragm between expiration (left) and inspiration (right; arrows). Six months following treatment (Panel B), there was relative depression and, specifically, flattening of the left hemidiaphragm on inspiration (right as compared to left image; arrows). Note relative splinting of the left hemidiaphragm due to gaseous distension of the gastric fundus (all images).
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F1
Biplanar chest radiography showed a partial atelectasis of the left lower lobe, and screening fluoroscopy showed paralysis of the left hemidiaphragm (Figure 1A), but no air-space shadowing indicative of pneumonia. Repeat fluoroscopic examination showed partial recovery of the diaphragmatic weakness (Figure 1B).