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- W2187057228 abstract "Objective. To perform a review of the incidence, pathogenesis, clinical presentation, diagnosis and management of pleural effusions associated with pulmonary embolism (PE). Methods. A search of the MEDLINE and EmBase databases from 1975 to 2007 was performed. A manual search was also performed of the references of each article. Results. Pleural effusions occur in 19% to 61% of patients with PE. The incidence is higher if computed tomography (CT) of the chest is used for detection of pleural effusion (28.1% with chest radiograph and 43.3% with CT chest). The pleural fluid is almost always an exudate. Although usually unilateral, the pleural effusion can also be bilateral. The effusions are maximal by the third day, be larger in size, may develop loculations and can be associated with high leukocyte counts. The presence of pulmonary infarction may not be associated with large effusions. Conclusions. Pleural effusions are a common occurrence in patients with PE. The possibility of PE should be entertained in any patient with undiagnosed exudative pleural effusion. The results of this review further suggest that many traditional concepts with PE, viz, unilateral small effusions, absence of loculations and transudative nature of the pleural fluid need reappraisal. [Indian J Chest Dis Allied Sci 2009;51:159-164]" @default.
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- W2187057228 date "2009-01-01" @default.
- W2187057228 modified "2023-09-24" @default.
- W2187057228 title "Pleural Effusions Associated with Pulmonary Thromboembolism: A Systematic Review" @default.
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