Increased Lung Infiltration After Pleurodesis Surgery - Pulmonology

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Pneumothorax surgery and increased pulmonary infiltration?


Hello doctor, I had a pleural adhesion procedure on my left chest over a year ago, and during a recent health check, it was noted that there is an increase in localized infiltration in the left lower lung.
Is this normal? Additionally, I do not have a cough or fever, but sometimes I experience sharp pain in my left chest.
Thank you, doctor.

tian, 10~19 year old female. Ask Date: 2017/11/02

Dr. Huang Ruiming reply Pulmonology


Dear Mr.
Sky: Regarding the issue you raised, it is recommended to visit the pulmonology outpatient clinic for a more accurate diagnosis by a physician.
Hualien Hospital, Ministry of Health and Welfare, cares about your health.

Reply Date: 2017/11/02

More Info


After undergoing pleurodesis surgery, it is not uncommon for patients to experience changes in their lung imaging results, including increased lung infiltration. Pleurodesis is a procedure aimed at preventing the recurrence of pleural effusion by causing the pleura (the lining of the lungs) to stick together, which can lead to changes in lung architecture and function.
In your case, the report indicating increased localized infiltration in the left lower lung could be due to several factors. First, it is essential to understand that post-surgical changes can manifest as increased density or infiltration on imaging studies. This is often a result of the inflammatory response following surgery, which can lead to scarring or fibrosis in the lung tissue. Such changes may not necessarily indicate a new pathological process, especially if you are asymptomatic, meaning you do not have cough, fever, or other signs of infection.

The occasional sharp pain in your left chest could be related to several factors, including post-surgical changes, muscle strain, or even nerve irritation in the area. However, it is crucial to monitor these symptoms, especially if they worsen or if you develop new symptoms.

Increased lung infiltration can also be a sign of other conditions, such as pneumonia, organizing pneumonia, or even malignancy, particularly in patients with a history of lung issues. Therefore, while some degree of post-pleurodesis infiltration can be normal, it is essential to correlate these findings with clinical symptoms and possibly follow up with additional imaging or tests if indicated.

Given your history and the current findings, it would be prudent to discuss these results with your healthcare provider. They may recommend further imaging studies, such as a follow-up CT scan, to monitor the changes over time. Additionally, they may consider other diagnostic tests, such as pulmonary function tests or even a bronchoscopy, if there is a concern for infection or malignancy.

In summary, while increased lung infiltration after pleurodesis can be a normal post-operative finding, it is essential to evaluate it in the context of your overall health and any symptoms you may be experiencing. Regular follow-up and communication with your healthcare provider are key to ensuring that any potential issues are addressed promptly.

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