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Chest USG Shows Pleural Effusion, Blood Test Shows Serum. No Fever. Have Weight Loss. Did Histractomy. Suggestions?
Sir,
My wife, age 42 got Xray on 20th Sept'2013 and report is : Blunt both costophrenic angles - pleural. Thereafter Chest USG done on 22nd Sept'2013 and report is:
1.Mild left sided pleural effusion is seen with underlying collapse - consolidation
2.Minimal right sided pleural effusion is seen
3.No subphrenic collection is seen
4.Both domes of diaphragms areinvolving equally well with respiration.
Further bood test: Serum IGE - 50IU/ml
No persisting fever or weight loss is experianced.
History - Thyroid detection and taking Thyromorm - 25
2 years back Histractomy was done.
Please suggest the what should we do further.
Navin
My wife, age 42 got Xray on 20th Sept'2013 and report is : Blunt both costophrenic angles - pleural. Thereafter Chest USG done on 22nd Sept'2013 and report is:
1.Mild left sided pleural effusion is seen with underlying collapse - consolidation
2.Minimal right sided pleural effusion is seen
3.No subphrenic collection is seen
4.Both domes of diaphragms areinvolving equally well with respiration.
Further bood test: Serum IGE - 50IU/ml
No persisting fever or weight loss is experianced.
History - Thyroid detection and taking Thyromorm - 25
2 years back Histractomy was done.
Please suggest the what should we do further.
Navin
Tue, 1 Oct 2013
Hello,
Thanks for the query to H.C.M. Forum.
After going through your query there may be following possibilities as, pleural effusion present on both side right & left pleurae .
Pleural effusion may be due to ,
1 Tuberculosis , this is the most common cause . Diagnosis can be confirmed by aspiration of fluid by a needle and culture of this fluid. However physical examination of aspirated fluid also gives important clue.
2 Carcinoma , diagnosis can be confirmed by tapping the fluid from pleurae , so clinician will find out the nature of fluid.
3 Idiopathic reason , sometimes it is very difficult to find out the cause then only option is to aspirate the fluid.
The serum value of IG E ia normal ( 10-179 I U /ml), thyroid has nothing to do with this at this moment.
So consult a pulmonologist and get his opinion and treatment .
Good luck.
Dr. HET
Thanks for the query to H.C.M. Forum.
After going through your query there may be following possibilities as, pleural effusion present on both side right & left pleurae .
Pleural effusion may be due to ,
1 Tuberculosis , this is the most common cause . Diagnosis can be confirmed by aspiration of fluid by a needle and culture of this fluid. However physical examination of aspirated fluid also gives important clue.
2 Carcinoma , diagnosis can be confirmed by tapping the fluid from pleurae , so clinician will find out the nature of fluid.
3 Idiopathic reason , sometimes it is very difficult to find out the cause then only option is to aspirate the fluid.
The serum value of IG E ia normal ( 10-179 I U /ml), thyroid has nothing to do with this at this moment.
So consult a pulmonologist and get his opinion and treatment .
Good luck.
Dr. HET
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