Description

An 85-year-old man presented with 2 weeks of right-sided pleuritic chest pain, non-productive cough and low-grade fever. There was a history of pulmonary tuberculosis approximately 40 years earlier, but the patient did not know which medical treatment he had been through. He denied any previous surgery.

Physical examination showed no clinical signs of respiratory distress. The laboratory results showed an elevated C reactive protein of 8.02 mg/dl and increased erythrocyte sedimentation of 100 mm. A posteroanterior chest radiograph showed an air fluid level without a well-circumscribed border in the right lower lung zone …