The chest x-ray reveals bowel loop interposed between liver and right hemi diaphragm. The syndrome is named after Radiologist Demetrius Chilaiditi who first reported a case series.
Tips to diagnose-
- Awareness about the syndrome.
- Clinical condition of the patient (stable, benign abdominal examination).
- Prior chest x-rays will reveal similar appearance.
Further reading https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3380266/#:~:text=Chilaiditi%20Syndrome.%20Colonic%20interposition%20is%20usually%20an%20asymptomatic,respiratory%20distress%20and%2C%20less%20frequently%2C%20anginalike%20chest%20pain.