Doctor insights on:
Bilateral Pleural Effusion
Would moderate mitral regurgitation explain small bilateral pleural effusion. Is it a normal finding in that context? All other tests clear. I dont want to waste money on a echo if its an expected finding.
Pleural effusions: Pleural effusions are not normal. You need an echo to see if your heart function/structure is compromised That will dictate management of your cardiac status . You need a full cardiac work up. HR of 220 even in exercise is not normal. Do you have septal hypertrophy? diastolic dysfx.? F/u/ w/ cardiology ...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
I had a Upper abd & pelvic CT that was clear. But their was the following accidental finding: Minor pleural thickening posteriorly in the lower right zone & small bilateral pleural effusion. Couple of parenchymal bands - left upper lobe. ?
I understand that a "patchy consolidation" can be indicative of pneumonia. But could someone have a patchy consolidation if he also had,for instance, COPD & bilateral pleural effusions?
Yes it can be: Some one with COPD and bilateral effusion can also have Patchy Consolidation.It may be due to a co existing Pneumonia or it may be due to pulmonary edema(fluid in the lungs) or Atelectasis(Collapse of Lung)That is why we always say to medical students and residents,that we never treat the xray findings.But first History/Physical and xray in the context of Patients clinical presentation ...Read moreSee 1 more doctor answer
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
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
I had a report saying that I have a minimal bilateral basal pleural effusion of uncertain clinical significance. What does it mean?
It means: you have "water on your lungs" , which has many possible reasons. First of all your age is important, where you live and what your medical history is especially lung and heart problems. There are also infectious possibilities! See your PCP ASAP for complete person to person evaluation. Hope this helps! Good luck Dr Z ...Read moreSee 1 more doctor answer
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
Collection of fluid: Plural cavity ( the space around lungs) normally will have very small amount fluid for lubrication around the lungs and chest wall. When detectable amount accumulates could be due to cancer cells deposits or could be due to heart&lung diseases( non cancers). ...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
Determine cause: Pleural effusions, or fluid build-up around the lungs, is not normal. Pleural effusions can arise from infection, heart failure, liver failure, malignancies or trauma. The treatment will depend on the cause. Your doctor will need to run some tests and may need to sample some of the fluid to characterize it. If there is a lot of fluid and you are symptomatic, thoracentesis may be required. ...Read moreSee 1 more doctor answer