Dr. Vaibhav Goyal (General Surgery) needs a second opinion on this medical case.
A 30 y/o female presents with the complaint of severe dyspnea.
She is diabetic, non-smoker, non-acoholic female.
No other past medical history.
Had 1 cesarian delivery 3 years back. Child is healthy.
BP: 130/85 mmhg, Respiratory rate: 25 bpm, Pulse: 75 bpm, Temp: 97.9 degree F.
On physical examination, she was conscious but severely cachectic.
Chest x-ray shows haziness in the left lung and multiple nodules.
Chest CT scan shows severe left pleural effusion with pulmonary metastases.
Ultrasonograghy of abdomen shows a large mass (130*110 mm) in the left kidney. right kidney normal.
Need your valuable opinion on the case.