Correct!
1. Diaphragmatic hernia
There is air in the left lung which spontaneously resolved. Of the choices listed, only a diaphragmatic hernia is reasonable. Based on the sequence of events it seems likely that the non-invasive ventilation may have inflated the gut which slid through a hernia into the chest. Nasogastric tube placement and intubation allowed decompression of bowel and air entry into lung. The bronchoscopy confirmed that the left lung was externally compressed and distorted.
Which of the following would confirm the presence of a diaphragmatic hernia? (Click on the correct answer to proceed to the fifth of six pages)