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A Man With Pleural Effusion and AscitesA Man With Pleural Effusion and Ascites

Andrew Li, MBBS; Limei Poon, MBBS; Kay-Leong Khoo, MD, FCCP; Ju-Ee Seet, MBBCh; Arvind Kumar Sinha, MBBS, EBNM; Pyng Lee, MD, FCCP
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From the Division of Respiratory and Critical Care Medicine (Drs Li, Khoo, and Lee), Department of Pathology (Dr Seet), and Department of Diagnostic-Imaging (Dr Sinha), National University Hospital, Singapore; and Department of Haematology-Oncology (Dr Poon), National University Cancer Institute of Singapore, Singapore.

CORRESPONDENCE TO: Andrew Li, MBBS, Division of Respiratory and Critical Care Medicine, National University Hospital, NUHS Tower Block, Level 10, 1E Kent Ridge Rd, Singapore 119228; e-mail: andrew_yunkai_li@nuhs.edu.sg


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;147(6):e208-e214. doi:10.1378/chest.14-2237
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A male lifelong nonsmoker aged 58 years with no prior asbestos exposure complained of gradual worsening breathlessness over 3 months. This was associated with abdominal and leg swelling and a 2-kg weight loss. He had no fever, night sweats, hemoptysis, joint pain, rash, abdominal pain, chest pain, or orthopnea. The patient had no recent travel or contact with pulmonary TB. He had stage I left-side testicular seminoma treated with left-sided radical orchidectomy 10 years previous and recently received a diagnosis of Child’s B alcoholic liver cirrhosis. His hepatitis B and C screen result was normal.

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