Loculated Right Pleural Effusion?

Illustration of Loculated Right Pleural Effusion?
Illustration: Loculated Right Pleural Effusion? Bing

Good evening, my sister in the middle of last year underwent TB treatment because the doctor’s examination revealed a right pleural effusion. After undergoing treatment for TB drugs for 6 months, my sister did another X-ray and the result was a loculated right pleural effusion. Then the same doctor was added to take medicine for a period of 3 months. Some time ago, the doctor declared that he did not need to take TB drugs anymore and had recovered. Then another X-ray was performed, but the result of this last X-ray was still the same as the previous 3 months, namely a loculated right pleural effusion. My question : n1. what is the meaning and purpose of loculated right pleural effusion? (Basically I already understand what a pleural effusion is, it’s just that there is an additional word loculated which I don’t understand)n2. Is it dangerous and there are side effects if left alone, considering that the doctor has said that there is no need to take medicine anymore?n3. Is loculated pleural effusion common in all patients with pleural effusion due to tuberculosis?n4. how to treat the loculated pleural effusion?n5. is there any taboo or prohibition to eat/drink after this TB treatment?? nnThank you.

1 Answer:

Hello, Thank you for your question on HealthReplies.com


Pleural effusion is a condition in which there is an excessive amount of fluid in the pleural cavity, pleural effusion is not a diagnosis but an indicator of a pathological process, from an acute or chronic process, either from the lungs, other organs, or systemically. Pleural effusion in the pleura can be transudate, exudate, blood and pus.


Loculated pleural effusion is a small or localized pleural effusion that can be seen by ultrasound and CT scan. Loculated pleural effusions are not dangerous, because they are few in number, and generally occur in TB patients whose treatment is not optimal or there are still germs that are dormant or asleep and then wake up and infect, but not all pulmonary TB patients are affected by loculated effusion. Loculated pleural effusion can be treated with thoracentesis. There are several factors that can be considered for performing an invasive procedure, including:

Pocketed pleural fluid or loculated pleural fluid
Pleural fluid pH < 7.2
Pleural fluid glucose<60mg/dl
Positive fluid stain or pleural fluid culture
There is pus in the pleural cavity

Abstinence or prohibition of food / drink after TB treatment does not exist, what is clear after TB treatment is that the body's immune system must be maintained, so that germs do not come back to life, by eating regularly by eating nutritious food, exercising regularly, getting enough rest, so that the immune system is strong. You are strong, so the dormant TB germs don't re-infect.


Thank you, hopefully useful. dr.Nurmarwiyah

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