A 55 year old male with history of metastatic lung cancer presented to the A&E for increasing breathlessness for three days.
He was sitting up, anxious and in respiratory distress.
BP 125/64mmHg, SpO2: 95% on NRM, HR 118, RR 19.
The portable CXR was quite concerning – almost the entire right lung is white out. Would you consider a palliative pleural tap in this case?