Anatomymiddle twist
A 68-year-old man has become breathless over three weeks. He is examined sitting upright, and the right side of his chest expands less than the left. Bedside ultrasound shows a large collection of fluid filling the right costodiaphragmatic recess and reaching the level of the seventh rib in the midaxillary line, with the right lower lobe compressed against the mediastinum above it. The trachea is central.
Which one of the following combinations of findings would you expect over this man's right chest below the angle of the scapula?