Doctor insights on:
Multiloculated Pleural Effusion
Can mild multiloculated pleural effusion due to pneumonia be treated only by antibiotics? Is there any need for chest drainage?
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
Tuberculosis: Yoy have tuberculosis (tb) noted in your history. Tb can cause abnormalities like pleural thickening and effusion. The treatment your are taking is appropriate and you should be following along with your doctor. Your x-ray or ct scan evaluates the lung and the radiologist interprets the findings. ...Read more
Treat the cause: Pleural effusion is not a disease. It results when the production of pleural fluid exceeds the body's ability to reabsorb it. It has many causes (pneumonia, heart failure, blood clots, trauma, bleeding). Fixing the underlying cause with or withourt draining the fluid usually results in "cure". With some exceptions, cancer that causes pleural effusion is not curable, but it it is treatable. ...Read more
Fluid collection: There is a lining that covers your lung and a lining that covers the chest wall. There is normally a small amount of fluid in between the two. However, when more fluid collects then it can be seen on a cxr. Causes are many. A ct chest can help further help evaluate the effusion and the lining of the lung. Sometimes sampling the fluid with an ultrasound guided thoracentesis is neccessary. ...Read more
Depends...: Treatment for pleural effusions and/or pleural plaques depends on the cause. For example, pleural effusions can be due to heart failure, infections like pneumonia, connective tissue disease, etc. Each of these are treated differently. Is there asbestos exposure? See your doctor for diagnosis and then treatment options can be discussed. ...Read more
But better to get it fully drained once, and the cause identified and treated to prevent the recurrence.
Some cannot be stopped, but can be internally drained with devices. ...Read more
1 liter per day: Pleural fluid is about 1 liter per day each side. If you have cancer that metastasizes to the plera then the effusion can be quick. Your doctor will get X-ray. The choice is pleura tube and talc or plerx catheter and daily drainage. The pleurx gets you home faster but with the talc you will be done when home. You live close enough to Muskegon or grand rapids for medical care. ...Read more
Pleural Biops: Would most likely need a pleural biopsy by video assisted thoracic surgery (vats) for a diagnosis. Therapy would be determined by biopsy results. ...Read more
Hours to months: Pleural effusions can develop in hours to days depending on the cause. Things like heart failure, pneumonia, trauma, and abdominal issues can cause effusions to form rapidly. Plaques are usually a sign of more prolonged localized inflammation that take weeks to months or longer to develop. Hope this helps! ...Read more
Is a pleural effusion always dangerous? Does it need to always be drained. What are the symptoms?
Pleural effusion: 31 F asks: Is a pleural effusion always dangerous? Does it need to always be drained. What are the symptoms? ANS: yes, no & SX can be none to pain when take deep breath, SOB or to coughing up blood but depends on cause. So ask your Drs what they think is cause. Once this is known then advice may range from no worries! To do not begin any long books! Dr. humor here! But ask them they know u best. ...Read more
I had a report saying that I have a minimal bilateral basal pleural effusion of uncertain clinical significance. What does it mean?
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 more
Asbestos - how long does if it hapensfor pleusry or diffuse pleural effusion symptoms to appear after exposure. I was xposed 3mo ago. Could I have it.
Likely to take years: Asbestos is a mineral that was widely used in the construction, automotive, and other industries. Currently it is illegal to use. Factors involved in how asbestos exposure affects an individual include the amount and length of time a person was exposed to asbestos, as well as underlying health. In your case, a single limited exposure is not likely to cause early or high risk of late lung problems. ...Read more