system
Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 70-year-old man presents to the clinic with right-sided chest pain and difficulty breathing for the past 10 days. When it began, the pain was mild, but as time went on, it increased to a level at which the man found it difficult to breathe. Two years ago, he was diagnosed with clear cell carcinoma of the kidney. Vital signs include: pulse rate is 72/min, blood pressure is 122/80 mm Hg, respiratory rate is 16/min, and temperature is 37.0°C (98.6°F). On physical examination, the trachea appears to have deviated to the left, respiratory movements are diminished, there is decreased resonance on percussion, and there is an absence of breath sounds over the right hemithorax. Which of the following is the most likely clinical diagnosis in this patient?
assistant
Pleural effusion