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Thoracentesis is a procedure to remove fluid from the space between the lungs and the chest wall called the pleural space. It is done with a needle (and sometimes a plastic catheter) inserted through the chest wall. Ultrasound pictures are often used to guide the placement of the needle. This pleural fluid may be sent to a lab to determine what may be causing the fluid to build up in the pleural space.
The accumulation of fluid in the pleural space, referred to as a pleural effusion, usually indicates an underlying abnormality. A thoracentesis may be performed to identify the reason (diagnostic) and/or to relieve the discomfort and symptoms (therapeutic) of excessive fluid in the pleural space.