Massive pleural effusion

Massive pleural effusion – left side
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• X-ray chest anteroposterior view showing massive pleural effusion on left side and mediastinal shift to right
• Patient presented with symptoms of dyspnoea, cough and fever for 1 week duration
• On examination, breath sounds were absent on left side with stony dullness on percussion
• Patient’s spouse was an active case of tuberculosis, hence tuberculous pleural effusion was suspected