Correct!
4. There is a new right pleural effusion

The repeat chest-ray shows a new right pleural effusion (Figure 3).

Figure 3. Repeat chest-ray showing a right pleural effusion with a typical meniscus sign (blue arrows) in the right lower chest.

The effusion did not layer on a right lateral decubitus x-ray.

What should be done next? (Click on the correct answer to be directed to the fifth of seven pages)

  1. Thoracic CT scan
  2. Thoracic ultrasound
  3. Video-assisted thoracoscopic surgery (VATS)
  4. 1 or 3
  5. Any of the above

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