The diaphragm: anatomic, pathologic, and radiologic considerations

The diaphragm, by virtue of its complex anatomy and multiple ligamentous connections to both thoracic and abdominal structures, is more than a simple partition between the chest and abdomen. Cross sectional images of the diaphragm and peridiaphragmatic processes can be confusing unless the radiologist is aware of the normal structure of the diaphragm, its attachments to the body wall, and the multiple ligaments that attach to the diaphragm.