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Diaphragmatic Eventration with Retroperitoneal Liposarcoma

Imaging findings

Abrupt transition from normal to elevated right hemidiaphragm; normal muscle thickness anteriorly and posteriorly; large retroperitoneal mass (likely liposarcoma) pushing on the diaphragm.

Key takeaways

An abrupt, non-tapering transition to an elevated diaphragm is characteristic of eventration rather than paralysis, as the posterior muscle attachment remains intact.

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