Pleural diseases

Abstract

A 65-year-old chronic male smoker, with a known case of coronary artery disease with history of congestive heart failure, presented with increasing shortness of breath. He had right-sided pleuritic chest pain. He was afebrile, tachycardic, tachypneic, and hypoxemic on room air. Chest skiagram done in triage showed bilateral pleural effusion, with more pleural fluid on the right side than on the left side. The patient was shifted to the ICU.