Congenital diaphragmatic hernias occur through embryologic defects in the diaphragm. We present 2 cases of congenital diaphragmatic hernia, the first case was a late presentation in an 11 month old child, and the second case was an early typical presentation in a day old child, both diagnoses were made on chest radiographs. The paper is focused on the key role of the radiologist in a resource poor environment to make early diagnosis of this fatal and rare condition. Early diagnosis of this defect is essential. This will allow timely intervention and appropriate management, therefore, reducing the mortality associated with the condition.