TY - JOUR T1 - A difficult pleural effusion in a cirrhotic patient JF - Breathe JO - Breathe DO - 10.1183/20734735.0049-2020 VL - 16 IS - 2 SP - 200049 AU - Karl Jackson AU - Robert Johnston AU - Laura Mackay AU - Avinash Aujayeb Y1 - 2020/06/01 UR - http://breathe.ersjournals.com/content/16/2/200049.abstract N2 - A 61-year-old male presented to medical ambulatory care (MAC) with 2-week history of progressive exertional dyspnoea and dry cough. He denied haemoptysis, constitutional symptoms or diurnal variation. He was a nonsmoker.Failure of medical management of hepatic hydrothoraces will require pleural interventions. Indwelling pleural catheters and medical thoracoscopy can help. Careful liaison with liver transplantation teams is required. https://bit.ly/2XO1naGWe thank Sion Barnard, Cardiothoracic Consultant, for his advice in the management of this case. ER -