AtelectasisDownloads

A 70-year-old man presents to the clinic with right-sided chest pain and difficulty breathing for the past 10 days. When it began, the pain was mild, but as time went on, it increased to a level at which the man found it difficult to breathe. Two years ago, he was diagnosed with clear cell carcinoma of the kidney. Vital signs include: pulse rate is 72/min, blood pressure is 122/80 mm Hg, respiratory rate is 16/min, and temperature is 37.0°C (98.6°F). On physical examination, the trachea appears to have deviated to the left, respiratory movements are diminished, there is decreased resonance on percussion, and there is an absence of breath sounds over the right hemithorax. Which of the following is the most likely clinical diagnosis in this patient?

A 60-year-old man presents to the emergency department complaining of worsening exertional dyspnea over the last week. He denies chest pain and lightheadedness but reports persistent cough with white sputum. His past medical history includes hypertension and diabetes mellitus. He has a 50 pack-year history of smoking but denies any illicit drug use or alcohol consumption. His temperature is 101°F (38.3°C), blood pressure is 154/104 mmHg, pulse is 110/min, respirations are 26/min, and oxygen saturation is 88% on a non-rebreather mask. Physical exam is notable for an obese man in distress. The anteroposterior diameter of the patient's chest is increased, and he has decreased breath sounds bilaterally with diffuse expiratory wheezing. Which of the following is the best next step in management?