4- Conclusion
Bilateral DE has a variable presentation in the neonatal period, making diagnosis challenging. It should be considered in any infant with respiratory distress and lower lobe opacities on X-ray. MRI is the best modality to confirm the diagnosis. The timing of repair is not well defined but dependent on the severity of symptoms as well as the size of the baby. Surgical repair should be considered early in symptomatic cases to prevent complications and sequelae of prolonged respiratory insufficiency. Risks of early intervention must be weighed against the potential benefits of delaying surgery to allow the baby time to grow. Bilateral diaphragmatic eventration can present as an isolated finding or in association with other anomalies and conditions which should be investigated. Follow-up of patients with diaphragmatic eventration is necessary for possible complications or recurrence of eventration.