Abstract
A 66-year-old woman came to the emergency room presenting with progressive dyspnoea and orthopnoea of 3 weeks' duration. She arrived in acute respiratory distress with pulse oximetry oxygen saturation of 75% in room air and blood pressure of 70/50 mm Hg. The left hemithorax had no breath sounds and was dull to percussion. She was immediately intubated for respiratory failure. A chest radiograph taken after intubation showed large pleural effusion in the left lung and mediastinal shifting (figure A)—findings that are consistent with tension hydrothorax.
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