Signs of Pleural effusion (Abnormal chest fluid)

Description

An accumulation of fluid within the pleural cavity in the chest (the space between the lining of the chest wall and the lining of the lung). As the fluid increases in volume, the lung may become compressed. This can lead to difficulties breathing and localized discomfort. There are multiple causes including: heart failure, infections, cancer, renal failure, and autoimmune diseases.

Symptoms

Shortness of breath, chest pain, exercise intolerance.

Tests

A history and physical exam will be performed. The following tests may help to confirm the diagnosis: chest X-ray, CT scan, ultrasound of the chest, thoracentesis, pleural fluid analysis. The cause and type of the pleural effusion is determined by analyzing the pleural fluid removed during a thoracentesis.

Standard Workup

CBC
Chem 12
X-Ray
CT Scan
Ultrasound

Treatment

First the cause of the fluid accumulation must be treated. The fluid will be removed usually with a needle or a catheter. Depending on the cause of fluid other treatment options include: chemotherapy, radiation therapy, or instilling medication within the chest that prevents re-accumulation of fluid after drainage. For more information contact: The American Lung Association: (800)586-4872 National Jewish Medical and Research Center: (800)222-5864