Complicated Parapneumonic Effusion (CPPE) on Pleuroscopy We know that pH can vary in different locules in CPPE. Therefore, it’s important to Rx as CPPE if there’s strong suspicion for the same. Here is an example of clearly different fluid seen in different locules during pleuroscopy. Dr. Udit Chaddha @udit_chaddha #Complicated #Parapneumonic #Pleural #Effusion #CPPE #Pleuroscopy #clinical #thoracic #pulmonary #video