Anatomy clinical correlates Quiz: Ace Your Exams

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A 66-year-old woman undergoes a cardiac ablation for treatment of symptomatic atrial fibrillation. Several weeks postoperatively, the patient reports shortness of breath with exertion and difficulty initiating a deep breath. She additionally reports a morning headache as well as daytime fatigue. She has not noted any voice changes. Past medical history includes hypertension and hyperlipidemia. Vitals are within normal limits. Diminished breath sounds are noted over the right lung. No cardiac murmurs are appreciated. A chest radiograph is obtained, as demonstrated below. Which of the following structures was most likely injured intraoperatively?  

A chest X-ray shows significant right-sided pleural effusion with obscuration of the right hemidiaphragm and blunting of the costophrenic angle.

Reproduced from: Radiopaedia  

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