Abstract
PURPOSE: Pleural effusions are a common presentation to general medical departments of district general hospitals in England. In such a setting, we know that the quality of diagnostic work-up as well as the treatment rates of lung cancer patients improve with trained respiratory physician leadership (Gupta P, Bhattacharya M, Mukherjee R. The role of a trained respiratory physician in lung cancer management. European Respiratory Journal 2008; 32: 52. 237s). Whether this improves the diagnosis of unilateral pleural effusions is not well understood.
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