@article {Gesueteedpract-2018-316156, author = {Valentina Gesuete and Simona Salis and Giulia Gortani and Egidio Barbi}, title = {Child presenting with breathlessness 1 month after cardiac surgery}, elocation-id = {edpract-2018-316156}, year = {2019}, doi = {10.1136/archdischild-2018-316156}, publisher = {Royal College of Paediatrics and Child Health}, abstract = {QUESTIONS 1.~What is your diagnosis?Atelectasis.Pneumothorax.Right pleural effusion.Pneumonia.QUESTIONS 2.~Considering the result of the~chest X-ray and the clinical conditions, which treatment is required for this patient?Antibiotic treatment.Video-assisted thoracoscopy.Urgent thoracentesis.Medical treatment with diuretics and antibiotic. 3.~Which additional investigations should be carried out?Lung and heart MRI scan.Cardiac evaluation with echocardiogram.Pulmonary CT.Bronchoscopy with bronchoalveolar lavage. 4.~Which is the most likely cause of the pleural effusion?Heart failure.Pulmonary infection.A+B.Damage to the thoracic duct. Answers can be found on page 2.}, issn = {1743-0585}, URL = {https://ep.bmj.com/content/early/2019/02/01/archdischild-2018-316156}, eprint = {https://ep.bmj.com/content/early/2019/02/01/archdischild-2018-316156.full.pdf}, journal = {Archives of Disease in Childhood - Education and Practice} }