A 67-year-old man with advanced alcoholic cirrhosis was presented with progressive dyspnea. Chest radiography (Panel A) was suggestive of right pleural effusion. As hepatic hydrothorax was suspected, thoracentesis was performed and 1500 ml transudative fluid was aspirated. Four hours later, the patient started coughing and had tachypnea and tachycardia with right lung crackle heard on physical examination. Oxygen saturation: 82% .
CT was acquired as indicated in Panel B. What the most likely diagnosis and management? *This case is from Docplexus editorial team for educative purpose only. Source: NEJM Stay Connected, the answer will be posted in the next 48h!
