Conversation: The conversation between human and AI assistant.
[|Human|] Hello, I had a physical today and a chest x ray showed elevated left hemi diaphragm, said it was not a big deal at all and would you like to have a cat scan! Then just said we will go ahead and schedule it they usually don t show much in this case? I had one two years ago. Thanks Danny
[|AI|]  Hello, Regarding your concern, I would explain that left semi diaphragm elevation may be due to several health disorders adjacent to the diaphragm (above in the thorax of below in the abdomen). An inflammatory focus, mass, hematoma, etcetera may be the reason. In addition, Phoenix nerve paresis may cause such a clinical pattern. Coming to this point, a comprehensive clinical investigation including several imagine studies may be necessary (chest CT scan, abdominal ultrasound, MRI, etcetera.) A clinical and laboratory correlation is required to review possible inflammatory or systemic events in the past. Several lab tests are recommended:- Complete Blood Count- PCR & ESR-Liver & renal function tests-Blood electrolytes level, etcetera In case you had a CT scan two years ago and no records of suspected health problems have come after, probably anew CT scan would not offer additional clinical information. Nevertheless, you need to discuss with your attending doctor on the above-mentioned issues. Hope I have answered your query. Let me know if I can assist you further.