This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.
Figure 2, left and right, are of the same female patient. As a matter of fact, this was the first patient in whom we established the diagnosis of reperfusion pulmonary edema with all its typical components. The patient was a 60year-old woman. The preoperative chest roentgenogram was taken on Septmiber 1,1987, in the erect position and the postoperative chest film was taken on September 3, 1987, at 6:05 PM in the supine position in the surgical intensive care unit. Luckily enough, I have retained copies of the negatives, both indicating the patient's name.Changes in proportions and position lead to the impression that the postoperative film (Fig 2, right) is of a different, male patient. In fact, the breasts are clearly seen on the negative (mastectomy was not performed as Dr Najarian suggests), but this is not clear enough in the printed version.
Klausner J. Truth Is Stranger Than Fiction Department: The Surgeon, the Radiologist, the Authors, and JAMA Got it Right-Reply. JAMA. 1990;264(16):2076. doi:10.1001/jama.1990.03450160044025