A 16-year-old girl attended the emergency department with 3 weeks of productive cough, fever, myalgia and intermittent night sweats. She reported several days of emesis, dyspnoea and pleuritic chest pain but denied haemoptysis. On examination, she was diaphoretic, tachycardic and tachypnoeic. Auscultation revealed left basal inspiratory crackles and reduced air entry. Chest X-ray (CXR) showed ‘left-sided pleural effusion, patchy consolidation and opacity over the left lung field, which is presumably artefactual’.
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