Cluster 271: pleural effusion clinically malignant significant ascites fluid chest ray pericardial Cluster 560: ascites paracentesis clinically encephalopathy significant hepatic trace moderate presence clinical Cluster 1212: effusions pleural ascites malignant pericardial significant patients exudative symptomatic peritoneal Cluster 1289: infiltrates chest pulmonary improving ray presumed fungal progressive attributed infections Cluster 1322: effusion pleural ascites pericardial drainage requiring symptomatic uncontrolled recurrent fluid