Author: Nadiah Parry / Editor: Jason M Kendall / Reviewer: Hamza Shaikh, Amanda King / Codes: ACCS LO 2, GP2, SLO1, SLO2, SuC15, SuP1, SuP2 / Published: 19/12/2020 / Reviewed: 29/05/2025
A 57-year-old lady was brought into the Emergency Department (ED) by ambulance with a presentation of abdominal pain. She had been complaining of colicky abdominal pain for five days.
On examination she was haemodynamically stable, apyrexial, had some minor scattered bilateral crepitations on chest auscultation and some diffuse minimal abdominal tenderness but no guarding. Her bowel sounds were normal.
Amongst other investigations a chest radiograph was performed and, to further clarify the radiological findings, a subsequent lateral decubitus radiograph was taken.
The erect and lateral decubitus chest radiographs are shown here:
20 responses
Good one, first time seeing such case.
Have rarely seen this sign, Have heard of it in the past but good to see
Interesting.
Good one, had a similar experience.
good
Good case
It could happen on the other side as well called reverse chiladiti.
Interesting
Interesting text
As some mentioned already, I have heard of the condition but have never seen one
Interesting
Well presented
useful info
Good learning point.
Good learning point
valuable learning point
Never heard of it before. Good learning point
interesting case
A rare case
Although it is rare in incidence but has a significant value. Thanks!