Concluded Case

White-out hemithorax

45 years old female c/o SOB/chest pain-1week K/c/o systemic Hypertension on treatment. Diagnosis? Next line of management?

(Edited)
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Concluded answer

Thank you everyone for your valuable opinion. Its a case of massive pericardial effusion. Now patient is better after pericardiocentesis.(xray attached)

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Opaque left hemithorax with mediastinal shift towards contralateral side. Findings sugg of massive pleural effusion on left Plan for diagnosing and therapeutic pleurocentesis, preferably ICD. Evaluate for underlying cause and medical or surgical intervention.

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Massive pleural effusion lt side .shift of medyastinum to opposite side.needs immediate pleural aspiration. Analysis of the fluid Wii give the clue to diagnosis. Routine examination of pleural fluid. Tb gene expert.study is to be advised. HRCT chest after pleural aspiration is advised. Pl post the diagnosis after u clinch it thanks

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Left sided massive pleural effusion, mediastinum pushed to Rt, rt apical hazyness. Pleural effusion aspiration as soon as possible, fluid analysis, CT chest,and other basic investigation CBC,ESR,

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Thank you everyone for your valuable opinion. Its a case of massive pericardial effusion. Now patient is better after pericardiocentesis.(xray attached)

Good case. Was it associated with left lobar collapse, secondary pressure effect? Post pericardiocentesis, left upper lung field also got cleared.
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Lt sided pleural effusion,send pleural fluid for AFB, CBNAAT and malignant cellss.do pleural tapping

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