男性，72岁。右胸钝痛、胸闷、气促3周， 无发热、脓痰。查体：气管左移，右侧胸 廓饱满，肋间隙增宽，右肺叩诊实音，右 侧呼吸音消失。WBC8.9X10VL,中性粒 细胞0.67。X线胸片示右侧大量胸腔积液， 胸穿抽液检查提示血性胸液。最可能的诊 断为

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