? Empyema

A chronic smoker aged 56 years who also has history of Pulm Koch's 10 years back Chief Complaints Fever (high grade) Pain left lower chest (x 20 days) Physical Examination Resp - Crepitations in left infrascapular and infra axillary region Investigations HRCT chest

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Right located pleural effusion with thick pleural rind Need pleural decorticating and biopsy and pleural fluid analysis

Thank you doctor

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