### Patient: Doctor, I am experiencing intense chest pain, shortness of breath and a persistent cough. I was diagnosed with pneumonia a few weeks ago and was treated with antibiotics, but my symptoms have not improved.
### Doctor: Based on your symptoms and medical history, it's possible that you may have developed a complication called empyema. To confirm this, we will need to perform several tests including a radiographic imaging procedure such as a plain x-ray, a scan ct, and kidney function tests. We may also need to check your cardiac enzymes and electrolyte panel. In the meantime, we will need to start intravenous fluid replacement to keep you hydrated and improve your respiratory function.