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THIS letter follows up on our previous publication in Veterinary Record (Kumar and Saini 2011), which reported ultrasonographic visualisation of motile reticulum at the fourth intercostal space to be confirmatory in the diagnosis of reticular diaphragmatic hernia in cows and buffaloes, irrespective of pregnancy status. Ultrasonographic visibility of the reticular wall at the fifth intercostal space should be interpreted as normal in cows (irrespective of pregnancy) and in advanced pregnant buffaloes, and doubtful for reticular diaphragmatic hernia in non-pregnant buffaloes. In doubtful cases, other methods such as contrast radiography and laparorumenotomy may be necessary.
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