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pleural effusion

Practice targeted AMC-style multiple-choice questions on pleural effusion.

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chest paincomputed tomography (CT)coughelderly patientepigastric painfevergastroenterologygastroesophageal reflux disease (GERD)infectious diseasesmiddle-aged man

A 40-year-old man presents with fever, pleuritic chest pain, and cough. A chest X-ray shows a pleural effusion. What is the next step in management?

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Giant hiatal hernia, CT image. 63 year old man.
Image by Jmarchn — CC BY 4.0 · Source

A 63-year-old man presents with increasing shortness of breath and epigastric discomfort, particularly after meals. He has a history of GERD. Physical examination reveals decreased breath sounds at the left lung base. An axial CT image is shown. Considering the clinical presentation and imaging findings, what is the MOST appropriate next step in management?

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