Tell your diagnosis:

Ans. (b) Perforation peritonitis* Air under diaphragm on the right side indicates a hollow viscus perforation* The best imaging for hollow viscus perforation is X -ray abdomen erect* The minimum amount of air detected on erect X-ray: 1ML.* If patient cannot stand erect due to peritonitis: Left lateral decubitus X-ray is taken. This image will detect 5-10mL of air.* Chiladiti's Syndrome: Interposition of colonic shadow between the liver and diaphragm appears like perforation air under diaphragm.