<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 49-year-old man comes to the hospital for a 10-day history of cough and worsening shortness of breath. He has sharp right-sided chest pain that worsens on inspiration and coughing. Two weeks ago, the patient was admitted to the hospital after passing out on the street from alcohol intoxication but he left against medical advice. He has coronary artery disease and hypertension, and he does not take any medications. He drinks 4 cans of beer daily and has smoked 2 packs of cigarettes daily for 20 years. His temperature is 38.5C 101.3 F, pulse is 110min, respirations are 29min, and blood pressure is 11065 mmHg. Examination shows poor dentition. There is dullness to percussion at the base of the right lung. Crackles and markedly decreased breath sounds are heard over the right middle and lower lung fields. An x-ray of the chest shows a right-sided loculated pleural effusion and consolidation of the surrounding lung with visible air bronchogram; there are no rib fractures. Thoracocentesis is performed. Examination of this patients pleural fluid is most likely to show which of the following findings?? A: Amylase of 200 UL, B: Lymphocytosis of 90, C: Pleural fluid LDHserum LDH ratio of 0.5, D: Lactate dehydrogenase of 45 UL, E: Glucose of 30 mgdL,  <response>: This is a clinical vignette describing a 49-year-old man with a 10-day history of cough, shortness of breath, right-sided chest pain, fever, tachycardia, tachypnea, and hypotension. He has a history of alcohol intoxication, coronary artery disease, hypertension, smoking, and poor dentition. Imaging shows right-sided pleural effusion and lung consolidation concerning for pneumonia. The question asks about expected pleural fluid analysis findings. Choice A can be seen with pancreatitis, so is incorrect. Choice B would indicate a transudative effusion, which is inconsistent with the clinical picture. Choice C is too low for an exudate. Choice D is very low and indicates a transudate. Choice E is correct - the low pleural fluid glucose is consistent with a parapneumonic effusion or empyema, which fits the clinical scenario.E: Glucose of 30 mgdL 