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- Large right pleural effusion, likely malignant in nature, patient will benefit from thoracentesis and Pleurx catheter placement.
- Bilateral multiple metastatic nodules.
- With above history a radiologist should think out of the box for rare complications of a portacath placement. Recommend a fluoro study for evaluation of tip of portacath as the tip on lateral view suggests it has an extrapleural course or it has perforated the SVC and is out into the mediastinum.