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CT scan of the chest demonstrates a mass in the right upper lobe abutting the pleura (*).

Irregular soft-tissue thickening of the pleural surface (arrow) and pleural effusion (E) are present. The findings are most consistent with primary lung neoplasm with pleural metastasis and malignant pleural effusion. Results of thoracentesis were positive for malignant cells (adenocarcinoma).

CT scan of the chest demonstrates loculated pleural effusion in the left major fissure (arrow) in a patient after coronary bypass. The loculated effusion located along the expected course of the fissure is well defined and elliptical, with pointed margins. The fluid is similar to water in its attenuation.

. CT scan of the chest demonstrates a mass in the right upper lobe abutting the pleura (*). Results of thoracentesis were positive for malignant cells (adenocarcinoma). with pointed margins. The fluid is similar to water in its attenuation. The loculated effusion located along the expected course of the fissure is well defined and elliptical. Irregular soft-tissue thickening of the pleural surface (arrow) and pleural effusion (E) are present.CT scan of the chest demonstrates loculated pleural effusion in the left major fissure (arrow) in a patient after coronary bypass. The findings are most consistent with primary lung neoplasm with pleural metastasis and malignant pleural effusion.

Biopsy demonstrated non–small-cell carcinoma. but it was negative for malignant cells.CT scan of the chest shows a soft-tissue lesion involving the right mainstem bronchus and atelectasis of the right lung with postobstructive changes in the right lower lung. A right pleural effusion is present. ). This sagittal study and the examination were performed with the patient . Ultrasonogram of the left lower chest (same patient as in Images 12-13).

seated. The pleural fluid was positive for malignant cells (malignant pleural effusion Posteroanterior chest radiograph in a 54-year-old man with hemoptysis demonstrates opacification of the right hemithorax with mediastinal shift to the right. Note the echogenic curvilinear diaphragm (arrow). In addition. an abrupt cutoff of the right mainstem bronchus is present. Echogenic fluid (E) can be seen in left hemithorax. .