| On radiogram, the ipsilateral hemithorax is lucent, the diaphragm is depressed, and the trachea and mediastinum are shifted contralaterally. |
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| Herniated bowel and solid viscera are seen in the ipsilateral hemithorax causing mediastinal shift. |
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| Fluoroscopy showed the acupuncture needle, about 4 cm in length, to lie in the parasternal region of the left hemithorax. |
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| During quiet breathing, equivalent tidal volumes were achieved by the paretic and healthy hemithorax. |
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| A chest x-ray showed new, multifocal, and extensive alveolar infiltrates throughout the right hemithorax. |
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| Laparotomy confirmed an obstructed diaphragmatic hernia with perforation of the transverse colon into the left hemithorax cavity. |
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