74M had a fall resulting in a right hip fracture whereby surgery was planned for tonight.  Given that the patient was hypoxic, Anesthesia consulted the General Internal Medicine service for a therapeutic thoracentesis as the admitting CXR - AP film - demonstrated blunting of the right costophrenic angle and findings suggestive of a moderate right pleural effusion.

64M with known systolic heart failure presented with progressive shortness of breath was found to have right costophrenic angle blunting on CXR with no breath sound and stony dullness on percussion on the respective region.

47F with known ovarian cancer previously treated with debulking surgery and chemotherapy presented with subacute shortness of breath who was found to be hypoxic with no breath sounds posteriorly at the thorax and dull to percussion.

87 year old with known systolic heart failure presented with shortness of breath who was found to have a large right sided pleural effusion.  A therapetuic thoracentesis was performed.  The patient was, then, laid supine to detect sonographic pneumothorax.