As the differential diagnosis for a unilateral pleural effusion is wide, a systematic approach to investigation is necessary. The aim is to establish a diagnosis swiftly while minimising unnecessary invasive investigations and facilitating treatment, avoiding the need for repeated therapeutic aspirations when possible.

2023年3月28日 · When a pleural effusion is large and unilateral, concern for an underlying abnormality should be raised. Causes include: tumor. bronchogenic carcinoma. mesothelioma. pleural metastases. lymphoma. pleural lymphoma. primary effusion lymphoma. infection. parapneumonic effusion. empyema. extension from subdiaphragmatic primary infection. …

The diagnostic pathway in unilateral pleural effusion is increasingly outpatient based, avoiding hospitalisation, which is particularly relevant with the recent COVID-19 pandemic. KEYWORDS: pleural effusion, thoracocentesis, intercostal chest drain, thoracoscopy, indwelling pleural catheter

2023年1月18日 · Pleural effusion is a collection of fluid around your lungs. Your provider has to get rid of this fluid with medicine or a procedure. Also, they need to diagnose and treat the condition that caused pleural effusion. Treatments range from medicine to surgery. Pleural effusion can happen more than once. Your outlook depends on what caused it.

2024年1月10日 · Pleural effusions may occur in about one fifth of patients with nephrotic syndrome. (Murray 2022) Effusions are related to sodium retention and hypervolemia. Pleural effusions are usually seen only when the serum albumin is <2 g/dL. (Fishman 2023) Effusions are usually bilateral, often subdiaphragmatic in location. (Murray 2022)

2024年8月31日 · Pleural effusion is the abnormal accumulation of fluid within the pleural space, the thin cavity between the pleural layers surrounding the lungs. Pleural effusions can arise from various etiologies, ranging from heart failure and pneumonia to malignancies, such as lung cancer, and systemic inflammatory disorders, such as lupus.

Most malignant pleural effusions cause symptoms, and the spatial extent of pleural effusions is correlated with the probability of malignant disease, i.e., the larger a (unilateral) effusion is, the more likely that cancer is the cause.

2021年2月5日 · Pleural effusions occur when fluid accumulates in the pleural space. Pleural effusions are usually classified as transudative or exudative. Transudates have a low protein level of <25g/L. Fluid accumulates due to a disruption in hydrostatic and oncotic pressures.

n will be subject to a degree of geographical variation. In gen-eral, however, virtually all cases of unexplained unilateral efusion, non-resolving bilateral efusions, or efusions due to suspected chronic infection, malignancy, or haemo-thorax should at the least be discussed with secondary care providers, as these cases are likely to require.

2024年9月16日 · Unilateral pleural effusions may sometimes be difficult to diagnose. The cause may vary widely, including congestive heart failure, chronic liver and kidney disease, various drugs, and underlying undiagnosed disorders of the lung and pleura. With advancements in chest imaging, new biomarkers, and less invasive methods for obtaining tissue samples, it may be …