title: Pleural effusion?-Trust your gut.
abstract: A 16-year-old Caucasian male presented with non-specific acute respiratory symptoms, on a background of irritable bowel syndrome and type 2 diabetes mellitus. Clinical examination and initial imaging were highly suggestive of a pleural effusion. Routine confirmatory ultrasound imaging prompted subsequent computed tomography scanning, revealing striking images of a Bochdalek hernia, therefore enabling appropriate subsequent management and avoiding patient harm.
authors.affiliation: Walsall Healthcare NHS Trust, Moat Road, Walsall, West Midlands, WS2 9PS, UK ;
authors.forename: Shabbir
authors.initials: S
authors.lastname: Merali
authors.affiliation: Sandwell and West Birmingham Foundation Trust, Lyndon, West Bromwich, B71 4HJ, UK.
authors.forename: Zain
authors.initials: Z
authors.lastname: Juma
authors.affiliation: Walsall Healthcare NHS Trust, Moat Road, Walsall, West Midlands, WS2 9PS, UK ;
authors.forename: Qazi
authors.initials: Q
authors.lastname: Zaman
keywords: Diagnostic imaging; congenital diaphragmatic hernia; irritable bowel syndrome; pleural effusion