患者女 ,70岁 ,患者因腹胀、纳差半年余 ,伴胸闷、憋气 4天入院。患者无咳嗽、咳痰 ,无咯血、胸痛 ,无发烧 ,只表现有进行性消瘦。入院后胸片示两肺胸腔积液。胸部 CT示双侧胸腔积液 (双肺下叶 ) ,肺被动不张。入院诊断 :胸腔积液 ,慢性胃炎 ,冠心病。查体 :全身表浅淋巴结均未 The female patient, 70 years old, was admitted to the hospital for 4 days due to abdominal distension and anorexia for more than six months, with chest tightness and hernia. The patient had no cough or sputum, no hemoptysis, chest pain, no fever, and only showed progressive wasting. After admission, chest X-rays showed pleural effusion in both lungs. Thoracic CT showed bilateral pleural effusions (lower lungs) with passive pulmonary atelectasis. Admission diagnosis: pleural effusion, chronic gastritis, coronary heart disease. Physical examination: None of the body’s superficial lymph nodes