Fibrinous septations in Malignant Pleural Effusion (MPE) - Lung POCUS • can be triggered by thoracenteses • by triggering coag cascade; ↑ levels of PAI1 • usually flimsy and can be broken during pleuroscopy • must be distinguished from thicker adhesions • can be lysed with tPA, but there’s no prospective e/o dyspnea ↓ Dr. Udit Chaddha @udit_chaddha #Fibrinous #septations #Malignant #Pleural #Effusion #MPE #Lung #POCUS #clinical #ultrasound #pulmonary