Optimus Prime presents to the ED with increased HR and RR. P…

Optimus Prime presents to the ED with increased HR and RR. Patient Interview reveals chest pain, decreased chest expansion, dyspnea, and dry cough. Exam reveals dull percussion note, diminished breath sounds on the left side, and displaced heart sounds. Which of the following is the most likely diagnosis?

Owen Grady presents to the pulmonary clinic with pinpoint no…

Owen Grady presents to the pulmonary clinic with pinpoint nodules throughout the lungs. He has a non productive cough, distended jugular vein, and digital clubbing. Mr. Grady lives with his wife on Smith Lake. He is a retired explosive engineer for the local mining quarry. His wife is still working as the companies secretary. They have 3 grown children with 6 grandkids. He admitts to casual drinking and No smoking or drug use. Which of the following is the most likely diagnosis?