PMC4558282_01
Chest X-ray during admission showing bi-basilar effusion, atelectasis, infiltrate, and cardiomegaly.
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Investigations indicated an echocardiogram with an ejection fraction of 40-45% and Pulmonary Artery Pressure (PAP) of 50 mmHg (same result from an echocardiogram performed 2 years previously) and her chest X-ray (Fig. 1) illustrated moderate bilateral pleural effusions, with underlying atelactasis and infiltrate.
Chest CT (lung window) at the level of tracheal bifurcation showing left lung effusion.
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Chest CT (Figs. 2-4) indicated similar moderate-to-large left and small right pleural effusions with bilateral circumferential pleural thickening.
Chest CT (lung window) at lower lung field showing b/l lower lung pleural effusion, more on the left, and cardiomegaly.
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Chest CT (Figs. 2-4) indicated similar moderate-to-large left and small right pleural effusions with bilateral circumferential pleural thickening.
Chest CT (mediastinal window) at lower lung field showing b/l lower lung pleural effusion, more on the left, bilateral pleural thickening, and cardiomegaly.
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Chest CT (Figs. 2-4) indicated similar moderate-to-large left and small right pleural effusions with bilateral circumferential pleural thickening.