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Celiac Plexus Neurolysis and Diaphragm Function

Imaging findings

Post-procedural radiographs and CT scans showed small static lung volumes and basal opacities (atelectasis). Longitudinal CT follow-up showed no significant atrophy of the hemidiaphragms.

Key takeaways

Evaluating bilateral hemidiaphragm motion via fluoroscopy is challenging due to "relative motion" of the rib cage; fixing the field of view relative to the fluoroscope edge is crucial. Mild thinning of the crus is not always diagnostic of permanent phrenic nerve paralysis.

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