Figure 1: A. brownish nodular lesion over nasolabial region; B. Hypopigmented macule over back
Further clinical examination revealed mediastinal shift towards left, right sided hyper resonant percussion notes till right 4th intercostal space and stony dull below, presence of shifting dullness, and absent breath sounds over right hemithorax- all suggestive of right sided hydropneumothorax. Abdominal examination, neurological examination, examination of the genitourinary tract and other systems did not reveal any significant finding.