What is an elevated left hemidiaphragm

[mgardner9196]

I recently went to the ER by ambulance a couple of days ago for chest pain, left arm pain, shortness of breath and near syncope multiple times throughout the night. Symptoms started at 9 pm and lasted through midnight. I am 34 year old female with a prior history of syncope and collapse due to coronary artery spasms. I have a heart monitor that was implanted two years ago. I also have cervical spinal stenosis due to herniated disks with cord compression at C3-4, C5-6, C7-T1 and myelomalacia at C5-6. I am scheduled to have an ACDF surgery in a few weeks, because conservative treatments have failed. The physical therapists will no longer see me because they said I have cervical instability and the spine and pain clinic will no longer give me cervical epidurals because they said I have too many risk factors (myelomalacia, spinal stenosis and cord compression) to continue such treatments. I also have a history of billiary strictures, liver fibrosis, liver failure and hepatic encephalitis. I know...it's a lot to take in. I've managed to fight very hard for my life and recovery quickly, because I have my young son at home that I need to take care of. He has autism, which makes fighting for my life and managing my health a very high priority of mine.

I was prescribed cardizam by my cardiologist and electrophysiologist, protonix by my gastroenterologist for gastrointestinal hemorrhaging due taking ibuprofen to keep the spinal cord inflammation down, and now go through iron infusions to treat iron deficiency anemia due to the GI bleeding. The iron deficiency has to be treated before I can have the ACDF surgery. The surgery was scheduled for December of 2016, but I wasn't healing and the neurosurgeon said this surgery would be too risky to perform when normally, there is very little risk involved. I see my neurosurgeon in a couple of days to get a new surgery date.

My question is: When I went in to the ER, the EKG's came back normal, but a chest x-ray showed an elevated left hemidiaphragm and protein in my urine with high specific gravity. I have had a chest and spine xray in March of 2017 due to a pretty bad car accident I was in and the xray did not show an elevated diaphragm at that time. This is a new finding. I am not sure what that means or if I should be concerned or which specialist I should speak to regarding this new finding, or if I should even bring elevated left diaphragm up at all.

Thank you. As you can imagine, I am even more so lost and confused after this last event. And advice or point in the right direction is greatly appreciated.