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A lady in her eighth decade with a history of left ventricular dysfunction and previous mitral valve replacement was admitted with a 2-month history of dyspnoea, ankle swelling and weight loss. She had signs of a moderate right-sided pleural effusion in addition to her expected cardiac signs. A thoracic ultrasound (TUS) was performed and a suitable site marked with the patient sitting erect (fig 1).
Competing interests None.
Provenance and Peer review Not commissioned; externally peer reviewed.