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Thoracic

Pleural Effusion

Abnormal fluid buildup between the lining of the lung and the chest cavity that interferes with breathing.

About This Condition

What is a pleural effusion?

When fluid builds up in the area between the lining of the lung and the chest cavity, it is called a pleural or pulmonary effusion. While this area normally contains a small amount of fluid, trauma, malignant cells, and infectious agents can cause this area to expand with abnormal amounts of fluid.

Pleural effusions typically are accompanied by chest pain and difficult, painful breathing. If left untreated, pleural effusions can lead to lung scarring, collapse of the lung, collection of pus within the pleural space, and sepsis — sometimes resulting in death. Earlier identification typically allows for a more successful minimally invasive approach to treatment.

Common Symptoms

Common symptoms of pleural effusion.

  • Chest pain

    Discomfort or sharp pain in the chest.

  • Painful breathing

    Pain that worsens when breathing deeply or coughing.

  • Shortness of breath

    Difficulty getting a full breath as fluid restricts lung expansion.

  • Persistent cough

    A cough that doesn't resolve, sometimes related to fluid buildup.

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    Bacterial, viral, or fungal infections of the lungs — pneumonia or bronchitis — that fill airways with fluid and impair breathing.

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How It's Treated

How pleural effusion is treated.

  • STEP 01

    Drainage of pleural fluid

    Minor effusions may resolve on their own; larger ones require drainage via a small tube inserted into the effusion.

  • STEP 02

    Medication

    Antibiotics or diuretics may be used depending on the underlying cause.

  • STEP 03

    Surgery for severe cases

    VATS or thoracotomy may be needed to break up adhesions or seal the pleural space. Duration of illness determines which approach is appropriate.