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An 80-year-old man presented because of superficial head trauma sustained after falling from bed. On review of systems, he reported worsening dyspnea on exertion, nonproductive cough, and weight loss over the preceding 2 to 3 months. There was no report of chest pain or leg swelling. He had a past medical history of hypertension, coronary artery disease, subclinical hypothyroidism, and renal cell carcinoma treated with partial right nephrectomy approximately 1 year before this presentation. Two months earlier he had been evaluated in the dermatology clinic for painful, dystrophic fingernails. At that time he was diagnosed with acropachy with onycholysis and suspected superinfection, and after failing to improve with vinegar soaks and topical antimicrobials, he underwent surgical nail removal on the second and fourth digits of the right hand. Histological examination of the operative specimens revealed dystrophic nails with negative fungal stains. His medications included levothyroxine, hydrochlorothiazide, and clopidogrel. He had never smoked and had done clerical work until retirement. He was originally from Colombia. [ABSTRACT FROM AUTHOR]

Of note, 5 patients (71%) had small pleural effusions prior to OHT, and there was a progression in 3 patients, showing evidence of concordance of effusion side pre-and post OLT. B CONCLUSIONS: b The majority of post-OHT patients at our institution had radiologically apparent pleural effusions during the post-OHT hospitalization, but only a very small minority underwent pleural fluid analysis. [Extracted from the article]