33 y/o female with chest pain, difficulty on breathing, and heart palpitation. diagnosis???

17 year old male presented in emergency with left leg as in the pic...No H/O of burn or trauma...H/o of Pleural effusion with pleural tapping done...unavailable drug history....the condition developed over a period of 25 days....loss of sensation and loss of movement...the wound is extremely foul smelling but dry...no H/o of any chronic disease

c/o fever and cough with severe breathlessness on exertion.... diagnosis as per x-ray view

Male Pt age 26 yr nail deformity since 3 month Rx &Dx

12 yrs male Dyspnea cough Orthopnea ECG and Chest xray posted Discuss findings and possible etiologies.....