Pleural fluid analysis
Pleural fluid analysis is a test that examines a sample of fluid that has collected in the pleural space. This is the space between the lining of the outside of the lungs (pleura) and the wall of the chest. When fluid collects in the pleural space, the condition is called
How the Test is Performed
A procedure called
- Cancerous (malignant) cells
- Other types of cells (for example blood cells)
- Levels of glucose, protein and other chemicals
- Bacteria, fungi, mycobacteria, viruses, and other germs that can cause infections
How to Prepare for the Test
No special preparation is needed before the test. An ultrasound, CT scan, or
DO NOT cough, breathe deeply, or move during the test to avoid injury to the lung.
Tell your provider if you take medicines to thin the blood.
How the Test will Feel
For thoracentesis, you sit on the edge of a chair or bed with your head and arms resting on a table. The provider cleans the skin around the insertion site. Numbing medicine (anesthetic) is injected into the skin.
A needle is placed through the skin and muscles of the chest wall into the pleural space. As fluid drains into a collection bottle, you may cough a bit. This is because your lung re-expands to fill the space where fluid had been. This sensation lasts for a few hours after the test.
During the test, tell your provider if you have sharp chest pain or shortness of breath.
Ultrasound is often used to decide where the needle is inserted and to get a better view of the fluid in your chest.
Why the Test is Performed
The test is performed to determine the cause of a pleural effusion. It is also done to relieve the shortness of breath that a large pleural effusion can cause.
Normally the pleural cavity contains less than 20 milliliters (4 teaspoons) of clear, yellowish (serous) fluid.
What Abnormal Results Mean
Abnormal results may indicate possible causes of pleural effusion, such as:
Cirrhosis Heart failure
- Abnormal connections between the pleural space and other organs (for example, the esophagus)
If the provider suspects an infection, a
The test may also be performed for
Risks of thoracentesis are:
- Collapsed lung (
- Excessive loss of blood
- Fluid re-accumulation
Pulmonary edema Respiratory distress
- Cough that doesn't go away
Serious complications are uncommon.
Blok BK. Thoracentesis. In: Roberts JR, Custalow CB, Thomsen TW, eds. Roberts & Hedges' Clinical Procedures in Emergency Medicine and Acute Care. 7th ed. Philadelphia, PA: Elsevier; 2019:chap 9.
Broaddus VC, Light RW. Pleural effusion. In: Broaddus VC, Ernst JD, King TE, et al, eds. Murray and Nadel's Textbook of Respiratory Medicine. 7th ed. Philadelphia, PA: Elsevier; 2022:chap 108.
Review Date: 12/06/2021
The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A licensed physician should be consulted for diagnosis and treatment of any and all medical conditions. Call 911 for all medical emergencies. Links to other sites are provided for information only -- they do not constitute endorsements of those other sites. Copyright ©2019 A.D.A.M., Inc., as modified by University of California San Francisco. Any duplication or distribution of the information contained herein is strictly prohibited.
Information developed by A.D.A.M., Inc. regarding tests and test results may not directly correspond with information provided by UCSF Health. Please discuss with your doctor any questions or concerns you may have.