Figure 74b

Chest Film Obtained on the Second Admission, Showing Slight Cardiac Enlargement and a Pacemaker. The heart and mediastinum show changes consistent with previous sternotomy and coronary-artery bypass. Moderate pleural effusions with underlying atelectasis are present on other images but are not visible on this image.

DiSalvo, T.G., King, M.E., Smith, R.N., Case Records of the Massachusetts General Hospital, A 66-Year-Old Woman with Diabetes, Coronary Disease, Orthostatic Hypotension, and the Nephrotic Syndrome, NEJM, Vol. 342, Jan 27-00, p 264-274.