Parapneumonic Effusion Notes:AlgorithmNote ANote BNote CNote DNote ENote FNote GNote HTable 1Figure 2Figure 3Figure 4Figure 5Figure 6Figure 7ReferencesManagement of Parapneumonic EffusionsFigure 6 In the event that VATS is not feasible because of dense adhesions, a limited muscle-sparing thoracotomy is perfomed. Transecting the posterior rib facilitates exposure of the fibrous cavity.