Prepared by Silke Rempe, MD, Fellow, Pulmonary/Critical Care Divisions, Muhammad Raza, MD, Fellow, Pulmonary/Critical Care Divisions, and Vijayachandran Nair, MD, Attending Physician, Pulmonary Division, Carl T. Hayden VA Medical Center and Banner Good Samaritan Hospital, Phoenix, Ariz
An 87-year-old man with many medical problems, including congestive heart failure and chronic renal insufficiency, presented to the emergency room with a complaint of dyspnea on exertion for the past few days. An initial chest radiograph showed a right-sided pleural effusion (Figure 1). Thoracentesis revealed 1 L of transudative fluid. A postthoracentesis chest radiograph was performed (Figure 2).
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