A case of Sympneumonic effusion, a condition in which pleural effusion is associated with pneumonia is reported here. The patient was presented with the shortness of breath, cough. He also had atelectasis changes in right middle lobe and a patchy consolidation in left lower lobe. Generally this is caused due to bacterial infection of streptococcus species .Which can be treated with general pneumonia treatment, includes antibiotics, oxygen supply and other supportive care.
Key words: Sympneumonic effusion, atelectasis, consolidation, streptococcus species.