### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I have been ill for nearly 8 weeks. It started out with flulike symptoms, developed into bronchitis in which I was treated with 10 days of levaquin and prednisone , turned into right middle lobe pneumonia which I was treated with zithromycin, tessalon pearles due to severe cough with pink sputum, and atrovent inhaler due to SOB. After I finished the zithromax my right middle lobe pneumonia resolved, my WBC s went back up to 14,000, Lymphocytes were 9 and sed rate was 63. My chest x-ray now shows that I have left side pneumonia. My physician ordered aCT scan of my chest today which shows I have a pericardial effusion. He wants me to go to the hospital tomorrow to have an echocardiogram. I currently am SOB, especially when I lay down at night, have had severe left sided pain under my breastbone radiating to my back, severe coughing episodes, and when I cough it tastes like amonia. The last Metabolic profile that I had done 2 days ago showed no abnormalities. Should I go to the ER or will I be OK to wait until tomorrow to have the echo. My symptoms seem to be getting progressively worse?

### output:

Hi welcome to Chat Doctor forum.  Thanks for calling Chat Doctor. Forum.  You had flu like symptoms, then right mid-lobe pneumonia, then left side pneumonia, then pericardial effusion. Difficulty on lying down.  It appears there is certainly a long way to travel, in the mean wile you should be cautious about the breathlessness, and you should have all the medicines necessary to have in hand for emergency.  Being an online doctor I cant be sure of what is going on, still I suspect tuberculosis or pericardium, which can be confirmed by examination of effusion fluid after the pericardiocentisis.  Your question is do you have to go to ER or wait till morning. I advise you to go today only to be comfortable till tomorrow morning.  Pericardiocentesis and use of probable Chat Doctor.  Wishing for a quick and complete recovery.  Best regards.