Ramachandran S
Postgrad Med J. 1974 Nov;50(589):689-93. doi: 10.1136/pgmj.50.589.689.
Elevation of the left dome of the diaphragm occurred in 43% of cases with left lobe amoebic liver abscesses. It was rarely seen in patients with an abscess in the right hepatic lobe. Elevation of the right dome of the diaphragm, which occurred in 36% of cases, is also compatible with a diagnosis of left lobe abscess. This radiological sign was present in 75% of cases with right lobe abscesses. Pleuro-pulmonary changes in the left chest, when associated with an elevation of the left dome of the diaphragm, favours the diagnosis of an amoebic abscess of the left lobe of the liver. Radiological changes in barium studies are usually confined to patients with large hepatic abscesses. In clinical practice the information obtained from simple radiology can provide adequate diagnostic confirmation of the presence of a left lobe liver abscess.
43%的左叶阿米巴肝脓肿患者出现膈左穹窿抬高。右肝叶脓肿患者很少出现这种情况。膈右穹窿抬高见于36%的病例，也与左叶脓肿的诊断相符。这一放射学征象见于75%的右叶脓肿病例。左胸的胸膜肺部改变，若伴有膈左穹窿抬高，则支持肝左叶阿米巴脓肿的诊断。钡剂造影的放射学改变通常仅见于大的肝脓肿患者。在临床实践中，从简单放射学检查获得的信息能够为左叶肝脓肿的存在提供充分的诊断依据。
