Large right-sided medial irregular intensely avid pleural mass with circumferential moderate pleural uptake in keeping with malignancy, associated with a large right-sided effusion and collapse. Right-sided intercostal catheter, with partial drainage of right pleural effusion, compared to previous CT and new gas pockets within the effusion. Associated surgical emphysema along the right chest wall, bilateral supraclavicular fossae and bilateral neck post ICC insertion. Intensely FDG-avid right-sided pleural malignancy with no distant metastatic disease identified.