pleural effusion clinically malignant significant ascites fluid chest ray pericardial 
ascites paracentesis clinically encephalopathy significant hepatic trace moderate presence clinical 
effusions pleural ascites malignant pericardial significant patients exudative symptomatic peritoneal 
infiltrates chest pulmonary improving ray presumed fungal progressive attributed infections 
effusion pleural ascites pericardial drainage requiring symptomatic uncontrolled recurrent fluid