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Images in emergency medicine
Fluid on the chest
  1. Hazel Morrison,
  2. John Gilbert,
  3. Will Loughborough,
  4. Seelan Pillay
  1. Emergency Department, Stanger Hospital, Stanger, KwaZulu- Natal, South Africa
  1. Correspondence to Dr Hazel Morrison, Emergency Department, Stanger Hospital, Corner of King Shaka and Patterson Street, Stanger, KwaZulu-Natal, South Africa, hazelmorrison{at}

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A 29-year-old man was referred from clinic complaining of worsening dyspnoea, chest pain and weight loss for 1 month. He was HIV positive on antiretroviral medication.

On arrival in our emergency department he was markedly dyspnoeic with a respiratory rate of 42 breaths per minute. Pulse rate was 150 and blood pressure …

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  • Contributors HM wrote and submitted the article. HM, JG and WL planned and edited the article. WL gained patient consent. JG obtained imaging. SP helped edit the article and is the overall guarantor.

  • Competing interests None.

  • Patient consent Obtained.

  • Ethics approval

  • Provenance and peer review Not commissioned; internally peer reviewed.