J Postgrad Med Close
 

Figure 1: A 75-year-old man presented with three-day history of vomiting, abdominal pain and distension. (A) An antero-posterior chest radiograph showing the raised right hemidiaphragm with colonic interposition in the sub-phrenic space (arrow). (B) An antero-posterior chest radiograph done during the previous admission eight months ago showing the pneumothorax (white arrow), following the central venous line lying in situ. The chest tube is clearly extending too far in medially and is abutting the mediastinum where it turns anteroposteriorly (black arrow). Note that the right diaphragm is normally positioned at this time

Figure 1: A 75-year-old man presented with three-day history of vomiting, abdominal pain and distension. (A) An antero-posterior chest radiograph showing the raised right hemidiaphragm with colonic interposition in the sub-phrenic space (arrow). (B) An antero-posterior chest radiograph done during the previous admission eight months ago showing the pneumothorax (white arrow), following the central venous line lying in situ. The chest tube is clearly extending too far in medially and is abutting the mediastinum where it turns anteroposteriorly (black arrow). Note that the right diaphragm is normally positioned at this time