Medical thoracoscopy. a) Example of procedural room set-up for rigid thoracoscopy. b) Normal parietal pleura with clearly defined anatomy. c) Pleural plaque disease with typical “fried-egg” appearance overlying ribs. d) Diffuse parietal and visceral pleural... Medical thoracoscopy. a) Example of procedural room set-up for rigid thoracoscopy. b) Normal parietal pleura with clearly defined anatomy. c) Pleural plaque disease with typical “fried-egg” appearance overlying ribs. d) Diffuse parietal and visceral pleural thickening secondary to mesothelioma with two-port strip biopsy technique. e) Heavily septated pleural space using two-port technique to divide septations in context of intercurrent malignancy and infection. f) Widespread malignant pleural nodularity with two-port biopsy technique. Rahul Bhatnagar et al. Eur Respir Rev 2016;25:199-213 ©2016 by European Respiratory Society