Doctor insights on:
Bilateral Pleural Effusion
Bilateral pleural effusions and some ascites that was not there previously following a percutaneous liver bx. What exactly would be the cause?
Some malignancy: Not many lesions of the thoracic cage such as lung produce bilateral pleural effusion, some ascites and a metastatic focus in the liver. The most common abdominal lesion to behave in this fashion is ovarian Ca with metastasis. If you are not aware of a primary, liver bx and PET/CAT should resolve the issue so that proper treatment can be initiated. ...Read more
Fluid around lungs has many causes. It can be exudate(thick i.E pus from infection, malignancy etc) or transudative(heart failure). It may be treated based on the problem found by sampling(thoracentesis). Labs on the fluid help the clinician determine the etiology. For recurring pleural fluid, sometime pleuradesis is necessary to hep prevent recurrance. Need ...Read more
Is ancillary breast tissue the same as axillary? I'm referring to proteinaceous material and small bilateral pleural effusions.
No: What you describe is not ancillary breast tissue ...Read more
Had heart surgery in june to remove paraganglioma. Dr. Says i now have murmur and bilateral pleural effusions. Is this a sign of chf?
Not always --: Not always CHF but it is certainly abnormal and you need to see your cardiologist asap. ...Read more
A week ago i had bilateral transudative pleural effusions. Is it normal for my 02 sats to be dropping to the mid 80s and feeling sob when i walk?
Get help now: If your o2 sats are dropping to the mid 80s while walking, you should go to the emergency department. You need urgent medical attention. Don't drive yourself because you could lose consciousness while driving. Have someone drive you or call a cab/911. ...Read moreSee 1 more doctor answer
Several: The fluid, or initial bloody fluid, or pus settles to the bottom of the pleural space( between the lung and the chest wall) it clots or gets thick and sticks in the dependent area and the lung sticks around it. If there is a lot of bloody or fibrinous fluid it may get stuck in several places- collections called loculations. ...Read moreSee 1 more doctor answer
Drainage: Pleural effusions that cause symptoms can be drained either with needle aspiration (thoracentesis), with catheter drainage (pgitail), or with tube drainage (chest tube) ... Recurrent pleural effusions can be treated with indwelling pleurx catheter, especially if the lung is trapped and will not re-expand as in malignant effusion, or with thoracoscopic pleurodesis. ...Read moreSee 1 more doctor answer
Fluid pleural space: The pleusa is a specialized tissue that lines the lung(visceral pleura) and the thorax(parietal pleura), every day it is estimated up to 9 liters of fluid could be exchanged in between the pleuras. This fluid traverses the pleural spaces and gets absorbed in the visceral pleuras. The process is seamless but conditions that affect the pleura or the lungs may result in fluid buildup in the space. ...Read moreSee 1 more doctor answer
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