RIGHT MASSIVE PLEURAL EFFUSION

Pt was old lady kco DM HTN CAD sp PTCA CKD came with co SOB since 5 days Interpret HRCT and management

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Rt sided diffuse opacity extending towards rt parahepatic region . Possibly massive pleural effusion with ascitis. Diagnostic tapping in view of exudate or transudate. Accordingly ICD or hemodialysis. Evaluate for RFT LFT electrolytes.

Thank you doctor
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Almost rt side is totally opaque Pt is diabetic and hypertensive CAD PTCA and ckd Hydropneumothorax rt side

Rt side massive pleural effusion with lungs collapse Tapping and investigation ICD place, may be Koch's

Thank you doctor
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