| Summary: | No abstract available. Article truncated after 150 words. A 59-year old woman with recently diagnosed small cell carcinoma with metastases to liver and spine presented after a fall presented with lower extremity weakness and incontinence. She was diagnosed with intertrochanteric femoral fracture and prior to planned transfer to our hospital for neurosurgical evaluation she underwent operative fixation of the fracture. An indwelling venous access port was also placed on the same day which was complicated by a pneumothorax requiring chest tube placement. Upon arrival to our institution, she had normal vital signs and was in no distress. On respiratory examination, breath sounds were clear bilaterally on auscultation of the posterior chest but reduced on the left side on anterior auscultation. A chest tube was in place in the right mid-axillary line with no evidence of an air leak. Chest x-ray demonstrated the right-sided chest tube and partial opacification of the left hemithorax, with a left hilar mass (Figure …
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