Respiratory System

{"ops":[{"insert":"Diagnosis and reasoning"},{"insert":"\n","attributes":{"header":1}},{"insert":"Dyspnea on exertion may be of pulmonary, cardiac or mixed cardiopulmonary origin. In this patient, the diminished breath sounds in the right lung base suggest a pulmonary etiology, with potential diagnoses including a pleural effusion, collapse of a bronchopulmonary segment or basal atelectasis.\n\nHis chest x-ray shows unilateral elevation of the right hemidiaphragm, which might be due to loss of lung volume (i.e. atelectasis or lung collapse); or a subpulmonic pleural effusion or pleural mass (which may mimic this appearance).\n\nNote that this radiological finding may also be observed in abdominal disease (i.e. hepatomegaly, subphrenic abscess) and may also be mimicked by diaphragmatic hernias.\n\nAs the X-ray is inconclusive, further evaluati"}]}

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