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   ocr: Identity primary tumor Bronchogenic Metastatic carcinoma carcinoma Lymphoma Isit it responsive Cell type to chemotherapy? Chemotherapy and/or radiotherapy Small Non-small cell No Yes - cell Response Y K / Administer chemotherapy Chemotherapy No Yes / Response? Chylothorax? Continue Response .. Y / chemothera Y Yes No Yes No No Yes Y I Continue chemotherapy Mediastinal Continue chemotherapy Consider pleurodesis - radiation Is the patient symptomatic trom the effusion? No Yes Y - Observe Is the mediastinum shifted toward the ipsilateral side? Yes No Bronchoscopy Therapeutic thoracentesis Bronchi ...