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s/l scoffing at the diaphragm

Posted By: mtinmo on 2007-09-18
In Reply to:

Subject: s/l scoffing at the diaphragm

I'm doing a pulmonary consultation and on a chest x-ray he dictates what sounds like scoffing at the diaphragm.  He goes on to say that it could be "perhaps an anterior pleural effusion versus density."  Any help would be appreciated.  TIA




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diaphragm
Subject: diaphragm


I think that's it and its elevation OF the diaphragm. NM
Subject: I think that's it and its elevation OF the diaphragm. NM

.
s/l cruz of the diaphragm??
Subject: s/l cruz of the diaphragm??

Context: An op report on a hiatal hernia repair:

dissection was carried out all along the right, going across the top, and the left ?cruz? of the diaphragm

And: posterior aspect of the left and right ?cruz? of the diaphragm
s/l cruce of the diaphragm nm
Subject: s/l cruce of the diaphragm nm


Diaphragm inside it at 41 cm? NM
Subject: Diaphragm inside it at 41 cm? NM

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x-ray with & without contrast does show some ___ under the diaphragm
Subject: x-ray with & without contrast does show some ___ under the diaphragm

nm
diaphragm paresis, although technically
Subject: diaphragm paresis, although technically

should be diaphragmatic paralysis.  Maybe doc is like so many other doctors that think just because they have gone through 8 years of medical school that it gives them license to make up words.  Boy, are we grossly underpaid!!
It does s/l phrenic lesions, could that be correct in terms of anatomy, relating to diaphragm?
Subject: It does s/l phrenic lesions, could that be correct in terms of anatomy, relating to diaphragm?