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From the Department of Internal Medicine (Rowlands), the Department of Pulmonary and Critical Care Medicine (Zasik), and the Research Institute (Reed), St. Luke's Hospital and Health Network, Bethlehem, Pennsylvania.

Address correspondence to Deborah M. Rowlands, DO, St. Luke's Hospital and Health Network, Department of Medicine, 801 Ostrum St, Bethlehem, PA 18015. E-mail: D_rowlands{at}hotmail.com

Pleural effusions after coronary artery bypass grafting (CABG) occur in up to 89% of patients undergoing the procedure. Effusions present days to months after surgery, and fluid characteristics relate to timing factors. Most of the effusions are left-sided and resolve spontaneously. Pleural effusions requiring treatment occur in a small percentage of patients who have undergone CABG. Post-CABG pleural effusions in temporal relation to malignant effusions are not widely reported. This report describes a 50-year-old man presenting with a malignant left-sided pleural effusion 3 months after CABG, with characteristics resembling a late post-CABG effusion.