{"ops":[{"insert":"A 44-year-old woman presents with progressively worsening dyspnea for one week. There is no history of orthopnea, paroxysmal nocturnal dyspnea, chest pain, or cough.\n\nShe was completely asymptomatic prior to this, has no comorbidities, and is not on any medications. There is no history of recent trauma. She has never smoked, and only drinks socially.\n\nA complete blood count and electrocardiogram (ECG) are found to be completely normal.\n"},{"insert":"\n"},{"insert":{"image":"\/storage\/case-images\/pd\/PD-M-099_en.png"}},{"insert":"\n"}]}
2
Investigate
Chest X-ray
{"ops":[{"insert":"There is near complete homogeneous opacification of the right hemithorax, with mediastinal shift to the left. The left lung shadow appears normal.\n"}]}
CT Thorax
{"ops":[{"insert":"There is a large right-sided pleural effusion with no loculi. No lung, hilar or mediastinal masses or adenopathy is noted. The mediastinum is shifted towards the left side.\n"}]}
