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In thoracic surgery, access to the pleural cavity involves a pleurotomy. A chest drain is inserted to allow re-expansion of the lungs post-pleurotomy. This also prevents a tension pneumothorax. Some patients have a residual pneumothorax post chest drain removal noted on chest radiography (CXR) despite having no air leaks. Rates of pneumothorax post chest drain removal vary with figures quoted at 9.3-13.6%. The majority of these are barely perceptible or small ( 2 rib spaces in apex or base). For these larger pneumothoraces, is it safe to send patients home?

Can we send patients with large non-resolving pneumothorax home post chest drain removal?