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A patient with adenocarcinoma of the right lower lobe with metastasis to the lungs; the chest X-ray showed fluidothorax on the right.
The ultrasound examination confirmed hyperechoic fluidothorax on the right, a pleural puncture was carried out, straw-colored effusion was obtained, biochemical exudate, cytology with no malignant cells.

| ChW | - | Chest Wall |
| F | - | Fluidothorax |
| P | - | Pulmonary Parenchyma |
| Li | - | Liver |
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