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Images in medicine
“X marks the spot” is not a pleural guarantee
  1. A R L Medford1,
  2. J J Entwisle2
  1. 1
    Department of Respiratory Medicine, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK
  2. 2
    Department of Radiology, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester, UK
  1. Correspondence to Dr A Medford, Department of Respiratory Medicine, Glenfield Hospital, University Hospitals of Leicester NHS Trust, Leicester LE3 9QP, Leicestershire, UK; andrewmedford{at}hotmail.com

http://dx.doi.org/10.1136/pgmj.2009.088286

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    Case history

    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).

    Figure 1

    Thoracic ultrasound confirming moderate right effusion …

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    Footnotes

    • Competing interests None.

    • Provenance and Peer review Not commissioned; externally peer reviewed.