Massive Pleural effusion with mediastinal shift
Severe shortness of breath. Recent weight loss.
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Massive left sided pleural effusion with marked mediastinal shift.
The heart and trachea as severely displaced to the right.
Right lung clear.
This 'white out' with the large amount of mediastinal shift is the resultant of a massive pleural effusion.
This is an extreme example of mediastinal shift from an effusion.