A 65-year-old female pres...

A 65-year-old female presented with a persistent cough accompanied by phlegm over the last three months. She reported subfebrile fever, night sweats, a significant weight loss of 10 kg within the past month, shortness of breath, fatigue, and a loss of appetite. Most vital signs were within normal limits, except for an elevated respiratory rate of 26 breaths per minute. Laboratory results indicated a decreased level of haemoglobin (9.0 g/dL) and increased levels of white blood cells (18,900 cells/cmm) and platelets (6.2 Lakh/μL). Her chest X-ray revealed infiltrates in the right lung field and the upper field of the left lung, particularly in the upper field of the right lung. The left diaphragm appeared dull, while the right diaphragm appeared smooth. The left costophrenic sinus was also blunt, and the right was pointed. The patient was diagnosed with clinical lung tuberculosis with left pleural effusion and empyema. The Gene-Xpert test and pleural fluid culture were scheduled to confirm the diagnosis.