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October 24, 1990

Truth Is Stranger Than Fiction Department: The Surgeon, the Radiologist, the Authors, and JAMA Got it Right-Reply

Author Affiliations

Tel Aviv Medical Center Rokach (Hadassah) Hospital Tel Aviv, Israel

Tel Aviv Medical Center Rokach (Hadassah) Hospital Tel Aviv, Israel

JAMA. 1990;264(16):2076. doi:10.1001/jama.1990.03450160044025

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In Reply.—  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.