The 60 y/o female, with chief complaint of cough with yellowish sputum, general soreness, poor appetite, abdominal distension and dyspnea for 1 week. Vital sign: 40.2/107/31. Labatory: WBC: 17600, Seg: 90 ; Influ A, B Negative, ABG(room air): PH: 7.449, PCO2: 35.6, PO2: 35.3, HCO3: 24.2, CO2: 25.3, BE: 0.6%, %SO2: 71.1. CRP: 380.
The chest roentgenogram as below:
根據以上的臨床表現及影像你的臆測診斷是什麼?
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