@entity263 is the most common newly diagnosed @entity5 in males. Pulmonary and @entity3 are not uncommon on autopsy, but malignant effusions are not common clinical findings. There are no current recommendations to guide @entity1486 level assessment in pleural fluid. A 73  yo  w/ @entity263 presented with complaints of subacute worsening of exertional @entity1353 . He underwent a CT of the chest which excluded @entity1151 but did show moderate to large bilateral @entity1143 . The @entity1 had a thoracentesis performed which confirmed an exudative effusion with @entity1358 and elevated @entity1486 levels. Metastatic visceral _ parietal foci of @entity263 were found on medical pleuroscopy. The @entity1 was symptomatically treated with bilateral tunneled chest tube catheters for intermittent drainage. Pulmonary metastasis secondary to @entity263 is commonly found on autopsy, with @entity358 in 46% of @entity1 and @entity3 in 21% of @entity1 . Pleural effusions are not common, in one series, only 6/620 (1%) were found to have pleural masses/nodules or effusions. Diagnosis of @entity1143 secondary to metastatic @entity263 can be achieved by direct cytology evaluation and/or @entity1486 level elevation in the fluid. While specific, the sensitivity is not high enough to rule out disease if negative. Elevated pleural fluid @entity1486 levels may aid in the diagnosis; however, there are no current recommendations as to what level may be considered diagnostic. Further studies are needed to define the sensitivity and specificity of @entity1486 in pleural fluid.

Malignant pleural effusion from XXXX .

@entity1143 :: ('MESH:D010996', 'Disease') :: ['pleural effusion', 'pleural effusions'] @entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity263 :: ('MESH:D011471', 'Disease') :: ['prostate adenocarcinoma', 'prostate cancer', 'Prostate adenocarcinoma'] @entity1353 :: ('MESH:D004417', 'Disease') :: ['dyspnea'] @entity5 :: ('MESH:D009369', 'Disease') :: ['cancer'] @entity1151 :: ('MESH:D011655', 'Disease') :: ['pulmonary emboli'] @entity1358 :: ('MESH:D002292', 'Disease') :: ['atypical cells'] @entity358 :: ('MESH:D008171', 'Disease') :: ['pulmonary metastasis'] @entity3 :: ('MESH:D009362', 'Disease') :: ['pleural metastasis'] @entity1486 :: ('354', 'Gene') :: ['PSA', 'prostate specific antigen']
@entity263 :: (MESH:D011471,Disease) :: ['prostate adenocarcinoma']
