Budd-Chiara syndrome and chylothorax.
A 63-year-old woman with type 2 diabetes mellitus presented with a 2-week history of progressive dyspnea. Physical examination revealed decreased breathing sounds in her right chest. Her routine blood investigations revealed a hemoglobin of 10.3 g/dl and albumin of 3.1 g/dl; chest radiography demonstrated right massive pleural effusion (Figure 1a). Pleural fluid analysis revealed a chylous-like pleural fluid with transudate in nature and chylothorax diagnosed with a pleural …