Associate Professor, Department of Chest and Tuberculosis, Hi Tech Medical College & Hospital Rourkela, Near Hanuman Vatika R.G.H Campus, Raurkela, Odisha 769004, India
Radiology ,REPE ,CoMorbidities ,

A typical reason for hospital visits is symptomatic pleural effusions. To avoid re-expansion pulmonary edoema, guidelines suggest draining 1.5 L with large-volume thoracentesis (LVT) (REPE). On a chest X-ray (CXR), pleural fluid opacification of the hemithorax has not been investigated as a predictor of REPE. Using hemithorax opacification on CXR, we looked at the incidence of REPE. From 2008 to 2019, we looked at LVTs at a tertiary metropolitan hospital with pre- and post-procedural chest CXR.The proportion of opacification of the hemithorax before and after drainage was calculated using Image J software. A radiologist and an interventional pulmonologist, both blinded to clinical information, independently assessed CXRs. Clinical REPE was divided into two groups based on clinical signs and symptoms. The findings were based on an evaluation of 195 LVTs with CXRs. The median drained volume was 1.8 L (IQR 1.6 L-2.0 L), while the median drained percent opacification was 25% (IQR 13-40%): In 11.1 percent of instances, the opacification was greater than 50%, and 40% of the cases had total drainage. There were 177 post-procedural CXRs that could be evaluated, and 20.3 percent of them displayed radiographic REPE. Clinical REPE affected 2.5 percent of patients with radiographic REPE. Draining > 50% of the opacified hemithorax was linked to radiographic REPE (OR 3.4, 95 percent CI 1.09-11.26, p = 0.035) and clinical REPE (OR 11.22, 95 percent CI 1.67-75.16, p = 0.013) according to multivariate regression analysismedication therapy. Once the diagnosis is made, intense prenatal care must be offered to ensure a healthy foetal outcome

1 , 1 , 2011