PMC8024708_01
Chest X-ray at the first visit.
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Chest radiograph (Fig. 1) showed a large pleural effusion on the right side and mediastinal shift to the left.
CT at the first visit.
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Pulmonary embolism and malignant disease were suspected and contrast-enhanced chest CT (Fig. 2) was performed for the purpose of systemic screening.
Pelvic MRI
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Based on the above results, Meigs's syndrome was considered to be a differential of right unilateral pleural effusion, so pelvic contrast-enhanced MRI (Fig. 3) was performed for qualitative assessment of the right ovarian nodule.
Thoracoscopy under local anesthesia.
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Thoracoscopy under local anesthesia (Fig. 4) was performed on the 4th day of hospitalization to search for a potential cause.