23rd September 2021

A 72-year-old male presents to A&E with worsening shortness of breath and oedema of his lower extremities

A 72-year-old male presents to A&E with worsening shortness of breath and oedema of his lower extremities. He has a history of diabetes and hypertension. Past surgical history includes a coronary artery bypass graft 15 years ago. Vital signs are unremarkable. On examination, there is jugular venous distention that is worse on inspiration, decreased breath sounds at the left base and hepatomegaly with ascites.

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