Complex pleural effusion and pneumonia - Dr. Robert Barry

  • 63 y/o M W/PMH of HCV, cirrhosis s/p TIPS, substance abuse presenting with R sided chest pain and SOB
  • HR 84, afebrile, RR 18, BP 120/64
  • Diminished lung sounds at R base, increased WOB, pupils icteric
  • US more detailed than CXR: fibrinous pleural effusion, air bronchograms, and hepatization