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Bilateral diaphragmatic paralysis presenting with orthopnoea and apparent radiological evidence of pulmonary embolism.

We describe two cases of bilateral diaphragmatic paralysis presenting to a district general hospital within a few months of each other. The first patient was treated for pulmonary embolism for several weeks before the correct diagnosis was made whereas the second was correctly diagnosed at the time of presentation. Both patients described profound orthopnoea developing within seconds of lying flat