49 year old female, a known case of thalassemia minor with hypothyroidism on treatment, presented with left sided massive pleural effusion. Pleural tapping revealed exudative effusion and she was started on four drug AKT. She had recurrent pleural effusions and required repeated aspirations. Thoracoscopic pleural biopsy revealed non caseating granulomas. She continued to deteriorate after 8 mon...

OBJECTIVE To compare the multidetector CT (MDCT) features of malignant pleural mesothelioma (MPM) and metastatic pleural disease (MPD). MATERIALS AND METHODS The authors reviewed the MDCT images of 167 patients, 103 patients with MPM and 64 patients with MPD. All 167 cases were pathologically confirmed by sonography-guided needle biopsy of pleura, thoracoscopic pleural biopsy, or open thoraco...

BACKGROUND Percutaneous transthoracic needle biopsy is used in the diagnosis of pulmonary and pleural lesions. The standard procedure using the Vacu-Cut cutting type of needle is the "thrust" technique in which the needle is rapidly forced through the lesion. In our experience this technique has a low yield of histological biopsy specimens. The diagnostic yield of a new biopsy technique ("drill...

A Pleural fluid accumulates when pleural fluid formation exceeds pleural fluid absorption. Normally, fluid enters the pleural space from the capillaries in the parietal pleura and is removed via the lymphatics situated in the parietal pleura 1 . Fluid can also enter the pleural space from the interstitial spaces of the lung via the visceral pleura or from the peritoneal cavity via small holes i...

vs interferon (IFN)showed that IFNis superior to ADA, although the difference is small. Therefore, establishing a diagnosis of tuberculosis pleuritis based only on pleural fluid ADA without pleural biopsy findings is still controversial.6 We do not intend to deny the usefulness of pleural fluid ADA for diagnosing tuberculosis pleuritis. Furthermore, we do not insist that pleural fluid INFcan re...

This is the report of a case of breakage and detachment in the pleural cavity of the tip of a nearly new Abrams needle during performance of a pleural biopsy. We have not found any reference in the literature to similar accidents and do not know what later complications may be produced by the metal body in the pleural cavity. In this case, there have been no complications 12 months after the in...