“…emphasizing the importance of histopathology, but also the finding of non‐specific pleuritis can be relied on as robust evidence to commence aggressive therapy. As highlighted in Fielding's editorial, the use of pleural ultrasound to target smaller effusions, surface imaging such as tissue autofluorescence to better interrogate the pleural surface for abnormalities, and improved biopsy techniques to optimize diagnostic yield, will all serve towards establishing a confident diagnosis of benign disease at pleuroscopy …”