45 yrs male patient came with complaints of chest pain, fever with chills, mild cough since 1mth few treatments were taken at other clinic details not available o/e Bp 110/70 pulse 86/min febrile. X chest Rt Pleural Effusion HB 10.6 wbc 12800 poly 80 lympho12 esr 116 sgpt 155 s creat 1.1 rbs 133 pleural tapping was done around 650 ml of fluid tapped.the pleural fluid report is pale yellow colour turbid cobweb absent ph 6.5 protein 5.4 sugar 12 total cells 32000 poly 95 lym 05 RBC 7-8 Gram stain no organism Ziehl stain AFB not seen.
What is the diagnosis and suggest treatment?
