What is the patient's diagnosis? The patient has sudden pain in the chest, predominantly on the right side, radiating to the back, worsening with ...

What is the patient's diagnosis?

The patient has sudden pain in the chest, predominantly on the right side, radiating to the back, worsening with breathing, constant cough, and worsening with deep inspiration.
The patient has been presenting intermittent fever episodes associated with anorexia and malaise for the last 6 months.
The patient is a smoker, alcoholic, and sedentary.
The patient has a history of systemic arterial hypertension for 20 years and type 2 diabetes mellitus for 15 years.
The patient has a decreased vesicular murmur in the right hemithorax, well-distributed, without adventitious sounds.
The patient has a flaccid, peristaltic, painless abdomen, RHA+, without arterial murmurs, diffusely tympanic, presence of dullness in the hepatic lodge and free Traube space.
The patient has edema +/4+, without clinical signs of DVT, preserved pedal pulses.
The patient's vital signs are: PA: 80 X 55 MMHG, FC: 122 BPM, FR: 35 IRPM, SAT.O2: 92% in ambient air, DX: 123 MG/DL.
The patient was admitted to the intensive care unit and crystalloids were administered, with maintenance of systemic arterial hypotension.
Noradrenaline 0.05µg/kg/min was introduced, with consequent maintenance of MAP ≥ 65mmHg.
After 72 hours, there was an increase ≥ 2 in the SOFA score + organ dysfunction = mortality of approximately 10%.
The exams requested for outpatients are: chest X-ray, complete blood count.
The exams requested for hospitalized patients are: radiographs, complete blood count, blood cultures, direct sputum or transtracheal aspirate bacterioscopy, bronchoscopy with bronchial lavage, bronchial brushing (with protected brush), and transbronchial biopsy, transthoracic aspiration biopsy, arterial blood gas, and renal function biochemistry: urea/creatinine.