Download PDFPDF
Unusual x ray image
Compose Response

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g.
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests


  • Responses are moderated before posting and publication is at the absolute discretion of BMJ, however they are not peer-reviewed
  • Once published, you will not have the right to remove or edit your response. Removal or editing of responses is at BMJ's absolute discretion
  • If patients could recognise themselves, or anyone else could recognise a patient from your description, please obtain the patient's written consent to publication and send them to the editorial office before submitting your response [Patient consent forms]
  • By submitting this response you are agreeing to our full [Response terms and requirements]

Vertical Tabs

Other responses

Jump to comment:

  • Published on:

    Dear Editor,

    The initial blood gas that was mentioned (pH-6.9, pCO2-11 & BE 12.8) was interpreted as severe metabolic acidosis. But this is in fact, combined respiratory and metabolic acidosis. The 2 possible differentials from the CXR are pneumothorax and cystic congenital adenomatoid malformation. In such a respiratory compromise (as evident from the blood gas) and a CXR picture, I am surprised that this...

    Show More
    Conflict of Interest:
    None declared.
  • Published on:
    Cystic lung lesion, a nasogastric tube and plain chest x-ray

    Dear Editor,

    I read with interest the report of late presentation of congenital diaphragmatic hernia. The authors report that after initial chest xray a ct scan was performed and then followed by another ct scan with contrast via NG tube.

    The rare presentation of diaphragmatic hernia as a solitary cystic lesion may led to a dealy in diagnosis and at times insertion of chest drain. However, it is a we...

    Show More
    Conflict of Interest:
    None declared.