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A 40-year-old man comes to the emergency department with 2 weeks of fever, malaise, weakness, and an unintentional 2.3-kg (5-lb) weight loss. During the last 4 days, he developed left-sided chest and upper abdominal pain. He has asymptomatic mitral valve prolapse. His wife was treated for an upper respiratory infection 3 weeks ago. The patient works for a large corporation and frequently travels to Mexico. He has a 20-pack-year smoking history. He does not use alcohol. His temperature is 39.4 C (103 F) , blood pressure is 120/70 mm Hg, pulse is 96/min, and respirations are 16/min. Lung examination shows decreased breath sounds in the left lower lung field with dullness to percussion. Cardiac examination shows a 2/6 systolic murmur at the apex. Laboratory results are as follows: Imaging studies reveal left-sided pleural effusion and splenomegaly with a splenic fluid collection. Which of the following is the most likely underlying diagnosis in this patient?
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Unique identifiers assigned to each part or component within an assembly or system.
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SAE
Society of Automotive Engineers, an international organization that develops standards for engineering professionals in various industries.
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