
Coughing. PET Scan Shows Extensive Pulmonary Abnormalities. Scheduled For EGD. Need Suggestion

Pleuarl fluid examination must be undertaken
Detailed Answer:
HI XXXX,
Thanks for your query,
It is very important for any pulmonologist to get a histopathological diagnosis of the existing disease particularly if malignancy is suspected.
Apart from scheduled esophagogram and further workup, I strongly recommend to undergo pleural fluid diagnostic tapping and further workup ( routine microscopy, protein, LDH, amylase, triglyceride, ADA, and above all malignant cytology). In your case a diagnostic bronchoscopy and brush cytology must be done.
What I feel is you must have elaborated the symptom especially about leg swelling, increasing of breathlessness while lying down, history of jaundice, any kidney problem and serum urea and creatinine.
If you feeling too much shortness of breath, may undergo therapeutic pleural aspiration.
Best wishes

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