Date: 27 May 2010; Dr Arthur CW Lau, ICU, Pamela Youde Nethersole Eastern Hospital, Hong Kong

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A 45-year old male was clinically admitted for for work up for bilateral pleural effusion. He was noted to have fever after admission. Pleural tapping c/st: no growth, cell count not done due to blood stained specimen, blood c/st: no growth. ICU was consulted for increased O2 requirement and hypotension. His past medical history was related to the CXR finding. What was it?
Hint:
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| 1995 | 2001 | 2002 |
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| 2003 | 2007 | 2010 |
Figure. Serial CXR from 1995 to 2010



