{"ops":[{"insert":"A 40 year old man presents with progressively worsening exertional dyspnea for 6 months. He is otherwise asymptomatic.\n\nHe gives a history of blunt abdominal trauma following a motor vehicle accident 4 years ago. An emergency laparotomy was performed, during which a laceration of the liver was detected. His medical history is otherwise unremarkable.\n\nHe does not smoke and there is no family history of malignancies or cardiac or respiratory diseases.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-S-004_en.png"}},{"insert":"\n"}]}
{"ops":[{"insert":"The x-ray shows unilateral elevation of the right hemidiaphragm. The right lung shadow appears normal otherwise. The left lung shadow, hemidiaphragm and cardiac silhouette appear normal, while the trachea is central.\n"}]}