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A 43-year-old man presented to the emergency room in respiratory distress after a 3-week illness. He had a history of alcoholism but no other serious illness. He had a respiratory rate of 34 breaths per minute, a heart rate of 120 beats per minute, a blood pressure of 80/50 mm Hg, and oxygen saturation of 86% while breathing ambient air. On examination, his neck veins were grossly distended (Panel A) and breath sounds were absent on the right side. Chest radiography revealed complete opacification of the right lung field (Panel B). The right side of the diaphragm was inverted and . . . [Full Text of this Article] |
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