QUESTIONS 1. What is your diagnosis?
Right pleural effusion.
2. Considering the result of the chest X-ray and the clinical conditions, which treatment is required for this patient?
Medical treatment with diuretics and antibiotic.
3. Which additional investigations should be carried out?
Lung and heart MRI scan.
Cardiac evaluation with echocardiogram.
Bronchoscopy with bronchoalveolar lavage.
4. Which is the most likely cause of the pleural effusion?
Damage to the thoracic duct.
Answers can be found on page 2.
- cardiac surgery
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