- By: Brian Kelly, Ian C Bickle
A 66 year old former shipyard worker presented to a medical admission department with increasing shortness of breath on exertion and worsening right sided chest pain over the previous month.
On questioning he admitted losing more than 7 kg in weight over the past two months. On examination, tar stained fingers and grade 3 finger clubbing are noted. Auscultation and percussion of the chest are suggestive of right sided pleural effusion.