Is that massive effusion in the right pleural cavity?

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CASE REPORT

A 44-year-old woman presented to the thoracic surgery department with a one-day history of chest distress and pain in the right side of her chest. The results of the physical examination were notable for rib crowding on the right, a mild scoliosis with convexity of spinal curvature towards the left, heart sounds best heard on the right side of the chest, and low breathing sounds on the right. There was a massive hydrothorax as seen by chest X-ray (figure 1). A computed tomography (CT) scan of the thorax was made (figure 2).


WHAT IS YOUR DIAGNOSIS? 

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