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Hereditary Parsonage-Turner Syndrome

Imaging findings

Elevated left hemidiaphragm with speckled, edematous-appearing muscle on CT; sniff test shows reduced mobility.

Key takeaways

This is a manifestation of neuralgic amyotrophy (hereditary Parsonage-Turner syndrome) linked to the SEPT9 gene. It causes severe shoulder/neck pain followed by diaphragm weakness, which may spontaneously resolve.

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