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Pleural Effusions in Lung Transplant Recipients: Image-guided Small-Bore Catheter Drainage¹

¹ From the Departments of Radiology (E.M.M., H.P.M.), Medicine (S.M.P.), Biostatistics and Bioinformatics (J.E.H.), and Cancer Center Biostatistics (J.E.H., C.Z.), Duke University Medical Center, Durham, NC; and Department of Radiology, M.D. Anderson Cancer Center, 1515 Holcombe Blvd, Box 57, Houston, TX 77030 (E.M.M., J.J.E.). Received July 12, 2002; revision requested August 23; revision received September 26; accepted November 18. Address correspondence to E.M.M. (e-mail: emarom@di.mdacc.tmc.edu).

View larger version (133K): [in a new window]   Figure a. Posteroanterior chest radiographs obtained in a 28-year-old man 2.5 months after bilateral lung transplantation for cystic fibrosis. This patient had persistent bilateral pleural effusions despite treatment for pathologically proved aspiration pneumonia. (a) Pretreatment radiograph shows bilateral pleural effusions. (b) Follow-up radiograph obtained 1 month after removal of an 8-F pigtail catheter that had been placed in the right pleural space shows a complete response with minimal residual pleural thickening. (c) Follow-up chest radiograph obtained 3 months after drainage shows essentially no change, with minimal residual bilateral pleural thickening.

View larger version (125K): [in a new window]   Figure b. Posteroanterior chest radiographs obtained in a 28-year-old man 2.5 months after bilateral lung transplantation for cystic fibrosis. This patient had persistent bilateral pleural effusions despite treatment for pathologically proved aspiration pneumonia. (a) Pretreatment radiograph shows bilateral pleural effusions. (b) Follow-up radiograph obtained 1 month after removal of an 8-F pigtail catheter that had been placed in the right pleural space shows a complete response with minimal residual pleural thickening. (c) Follow-up chest radiograph obtained 3 months after drainage shows essentially no change, with minimal residual bilateral pleural thickening.

View larger version (131K): [in a new window]   Figure c. Posteroanterior chest radiographs obtained in a 28-year-old man 2.5 months after bilateral lung transplantation for cystic fibrosis. This patient had persistent bilateral pleural effusions despite treatment for pathologically proved aspiration pneumonia. (a) Pretreatment radiograph shows bilateral pleural effusions. (b) Follow-up radiograph obtained 1 month after removal of an 8-F pigtail catheter that had been placed in the right pleural space shows a complete response with minimal residual pleural thickening. (c) Follow-up chest radiograph obtained 3 months after drainage shows essentially no change, with minimal residual bilateral pleural thickening.