 On the same day, he underwent VATS and thoracoscopic drainage of the pleural effusion with right pleural nodule biopsy, lysis of adhesions, and directed talc insufflation by Dr. X.  He was found to have 2.5L of bloody pleural effusions, some loculated pleural effusion, adhesions, and carcinomatosis in the parenchyma. 
On the same day , he underwent VATS and thoracoscopic drainage of the pleural effusion with right pleural nodule biopsy , lysis of adhesions , and directed talc insufflation by Dr. X. He was found to have 2.5L of bloody pleural effusions , some loculated pleural effusion , adhesions , and carcinomatosis in the parenchyma .