Massive pleural effusion with mediastinal shift

Case contributed by Ian Bickle
Diagnosis certain

Presentation

Severe shortness of breath. Recent weight loss.

Patient Data

Age: 65 years
Gender: Male

Massive left sided pleural effusion with marked mediastinal shift.

The heart and trachea as severely displaced to the right.

Right lung clear.

Case Discussion

This 'white out' with the large amount of mediastinal shift is the resultant of a massive pleural effusion.

This is an extreme example of mediastinal shift from an effusion.

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