Interesting Chest Xray (3)

This is a Xray of a 60 year-old lady who presented with severe breathlessness. It's pretty straightforward, think a 4th/5th year medical student should be able to describe it. It's basically a massive pleural effusion of left lung with mediastinal shift. But what I wanna show here is the marked trachea deviation, and if you look closely, even the carina can be seen!


P/s: If you wanna see a