Paul's office initially said the senator broke five ribs after the incident.
"As to reports of a longstanding dispute with the attacker, the Pauls have had no conversations with him in many years", Doug Stafford, Paul's senior adviser, said as he referred to the neighbor, Rene Boucher, 59, of Bowling Green.
A pleural effusion "is the build-up of excess fluid between the layers of the pleura outside the lungs", according to the Cleveland Clinic.
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"Last week, Sen. Paul was vigorously assaulted by someone in his neighborhood". The first "conversation" with the attacker came after Sen. The county prosecutor has suggested that criminal charges may change because of the severity of the lawmaker's injuries. This was not a 'fight, ' it was a blindside, violent attack by a disturbed person. Paul and Dr. Boucher, an anesthesiologist and "pain specialist", have been arguing about each other's lawn maintenance for years.
Warren County prosecutor Amy Milliken didn't provide any more details but said her office is working with Kentucky State Police and the Federal Bureau of Investigation.
That prosecutors are expected to bring federal charges in the attack indicates that they may believe it was politically motivated, Smith reported. Baker said Boucher cooperated fully and reiterated that Boucher's liberal beliefs have nothing to do with the alleged assault.
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The suspect's lawyer, Matthew J. Baker, said the incident was "a very regrettable dispute between two neighbors over a matter that most people would regard as trivial".
He also tweeted, separately, a Breitbart News article and a Washington Examiner article that publishes neighbors' statements disputing Skaggs, saying the issue goes beyond quibbling about their yards.
Milliken said Boucher's $7,500 bond requiring him to keep a distance of at least 1,000 feet (305 m) between himself and Paul remained in effect.
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Stivers is a former board member of the Homeowners Association at Rivergreen, the gated community where Senator Paul lives.