Large pleural effusion

Case contributed by Mark Holland
Diagnosis certain

Presentation

Admitted with large right pleural effusion containing mesiothelioma cells.

Patient Data

Age: 45 years
Gender: Female
x-ray

Complete opacification of the right hemithorax, with midline shift, in keeping with a large pleural effusion.

CXR 5 days later

x-ray

5 days post right chest drain insertion, routine imaging shows a reduced mediastinal shift with an ipsilateral moderate-sized iatrogenic pneumothorax.

The effusion has but resolved.

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