The dyspnea and lower extremities oedema of a 58-year-old man with a history of recurrent pleural effusions are getting worse. Upon examination, his legs and feet have bilateral pitting oedema, and his fingers and toes have yellow, dystrophic nails. Right pleural effusion might be seen as a big mass on the chest radiograph. Thoracentesis is carried out because yellow nail syndrome is the cause.

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