Doctor insights on:
What does "nodularity of visceral pleura" mean on CT scan? Was diagnosis with pleurisy and pleural effusion with atelectasis.
Concern scar, fluid pockets, or growth can make that appearance.
Likely scar after pleurisy, but thoracic surgeon, orbpulmonologist should follow with you. ...Read more
Multiple pathologies: Inflammation of the pleura, pleurisy, may be due to infections in the pleural cavity or overlying lung. There is generally inflammation of the pleura overlying lung infarcts. Auto-immune diseases, e.g., lupus can also cause inflammation of pleura. Pleurisy of apparent unknown cause should be treated as tuberculosis unless proven otherwise. ...Read more
Dear doctor, how can pleura thickening cause pain if it originates on the visceral layer which isn't sensitive to pain?
Pleural innervation: It's true that the visceral layer of pleura has no sensory innervation. But the other layer of pleura -- the parietal pleura -- is continuous with the visceral one and lines the inside of the chest. This parietal pleura is richly innervated via intercostal and phrenic nerves, and is very painful when injured or inflamed. Ask anyone who's been awake while receiving a chest tube. ...Read more
Covers the lung: The pleura is a thin lining of the chest wall and lung. The pleura must be opened if you want to operate on the lung or any structure inside the chest. Since it covers the chest wall the pleura must be punctured if you want to put a needle into the chest to sample fluid or tissue. ...Read more
Two layers: Lungs are covered in two layers of pleura, visceral and parietal. Both the thin layers of connective tissue with flattened epithelial lining. There is a potential space between the two layers and normally there is a small amount amount of lubrication fluid between the layers. ...Read more
No worries: Normal finding as the liver sits just below the right diaphragm and pushes it up a little which is noticeable on radiography. ...Read more
Yes possible: It is possible that there is scarring of the lung tissue due to a previous TB infection. If the infection has resolved this should cause no further problems. In some patients though TB may recur. Your physician will continue to monitor you with follow exams and chest radiographs as indicated. ...Read more
Visceral / Parietal: The lining (pleura) of the lungs consists of the visceral and pleural lining. There is a virtual (potential) space between the two and they slide back and forth without issues in most people. In a variety of inflammatory states (cancer, pneumonia, chf) fluid can accumulate between these two layers. Treat can include drainage by various methods. ...Read more
I am suffering from pleura thickening due to tuberculosis and the area where the thickening is hurts when I cough or take a deep breath. Whyis thatso?
I have pleura liquid in both of my lungs. I had an operation and doctors took sample from the liquid pleura, everyting is fine but no root cause found?
Pleural effusion.: If no etiology for the pleural effusion was identified on the first pass, then another round of thinking and testing may be necessary. A pleural effusion is not a diagnosis unto itself - it hints to another process occurring - this process needs to be identified. You should revisit your doctor and continue investigations until an answer, or list of answers, is reached. ...Read more
My 42 years old sister has been diagnosed on AdenoCarcinoma of left pleura about a year ago, with pleura effusion. Is there any treatment except chemo.
sorry to hear that.
Depending upon the stage, treatment may include surgery, chemotherapy, radiation therapy, or a combination of these
The most exciting recent advances in lung cancer treatment has been the discovery of genetic mutations in cancer cells, that in turn can be treated with medications that "target" those mutations. Talk to her treating doctor to check for EGFR and ALK mutation. ...Read more
Dr says I have scar tissue on pleura/lungs after having pleurisy earlier this year. Is this why I still get chest pain which is worse on exertion?
Could be: Obviously that is too complex of a question to answer with certainty over the internet, but it is a reasonable potential cause, particularly if your dr has evaluated you for more serious causes of chest pain, in which case nsaids or other pain management should help reduce limitation to function/mobility. Talk to your dr about this. ...Read more
Everytime I quit cigarettes, I experience great pain my lungs "inflammation" of the pleura. Omnicef (cefdinir) prescribed won't work. I want to quit but it hurts?
The Phenomenon: Sometimes there is so much damage and so much 'gunk' in the lungs that there is no ability or time for the body to work on healing when one is smoking regularly. It is often the case that the lungs seem worse when they stop smoking...Patients get pain, cough, and other odd sensations like you describe. These are often the 'reason' people start back up smoking. But, if they persist symptoms go awa. ...Read more
I have 5mm nodule along pleura of the apex. Late mother had a kiwi-sized malignant mass in same spot. What is the typical treatment plan for this?
Pulmonary nodules: The pulmonary nodules are generally evaluated with CAT scans. I typically 5mm or so a CT scan of the chest is done once a year. For specific diagnosis and treatment you need to see pulmonary physician in person. If nodule is suspicious for cancer they usually do a biopsy on ...Read more
My X-ray shows a thickened pleura in the mid-lower area of my right lung due to ptb. Does it cause pain due to pressure on the lung during exertion?
Pleural thickening: Most of the time does not cause pain, although there are patients who complain of it. We can't predict who do. It may be that it can limit the expansion of your lung but the extent again is individualized. ...Read more
I have a benign pleura thickening at the lower area of my right lung due to tuberculosis. It hurts when I cough or exert myself. Is surgery advisable?
Non-acute: Pleural thickening does not usually cause symptoms. There is likely another cause which should be investigated. ...Read more
When harvesting the IMA during a CABG how is the lung/pleura manipulated to necessitate the need for a chest tube? Why is coughing and deep breathing so important post op?
The lungs are not being inflated during this part of the bypass the patient is on a machine that circulates the blood and oxygenates it as well. The reason for deep breathing post op is to reexpand the lungs and open alvoli that are shut it also gets out sputum that otherwise could become infected
Pain in right lung when breathing. I thought lung and bronchi had no pain receptors. Ct scan was clear, doc said pleura was clear too. Any suggestions?
What you missed...: Are the muscles, synovial joints (e.g. the costochondral/sternal junction), bones and nerves that run through them, surrounding and protecting the thoracic viscera. If there is no source of pain which can be associated with the pleura, diaphragm or other internal organs, then you will need to consider the possibility of a musculoskeletal or neurological origin. Talk with your MD for more thoughts. ...Read more
I n many cases it starts after a viral illness or other infection or insult to the GI tract. This causes temporary damage to the mucus lining of stomach, causing pain, it then sensitises the stomach and other parts of intestine and cause abdominal pain.
Other conditions like abdominal migraine, pancreatitis, and esophageal reflux may trigger this condition, and it can happen in other visceras as well. ...Read more
Distension --may be pain in the guts, if lower part of guts, then urgency to use no.2
bloating-- may be more gassy but not necessary; may be a abdominal fullness sensation. ...Read more
Membrane: The visceral pericardium is a very thin membrane attached to the surface of the heart. The parietal pericardium is a thicker, tougher membrane that also surrounds the heart. When we refer to "the pericardium", we are mostly referring to the parietal pericardium. A very small amount of fluid usually exists in between these two layers. When the amount of fluid is called a pericardial effusion. ...Read more