Abstract

A 69-year-old man was admitted to hospital due to symptoms of exacerbation of chronic heart failure to New York Heart Association class IV. Executed tests and chest X-ray presented fluid, which filled almost all right pleural cavity. We recognised, that it was the reason of his complaints. Because of the fact, that the level of exudative fluid in the pleural cavity was recurrent, the patient required multiple punctures during few months. On the other hand, the patient did not present any features of exacerbation of heart failure. Therefore we decided to perform full pulmonological diagnostics. At the beginning, there were no abnormalities. However due to the further, more advanced tests we recognised adenocarcinoma of the right lung. The patient is qualified to oncological treatment.

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