Pleurisy is diagnosed clinically by the history of typical pleuritic chest pain on inspiration. A chest X-Ray or CT scan can show pleural thickening or pleural fluid accumulation to go along with the typical chest distress. Analysis of this chest fluid gives clues to the cause of the pleurisy. Biopsy of the thickened pleura reveals.the type of pathology also. TB or cancer are examples.
Answered 9/16/2022
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Many times a CT scan will identify fluid accumulation, however not always specifically if very early changes/ inflammation. It has to do with the definition for pleurisy as describing inflammation involving the pleura vs the pleuritic pain.
Answered 9/16/2022
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