PMC5925762_01
Left pleural effusion.
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His X-ray chest showed moderate pleural effusion on the left side (Fig. 1) which was confirmed by USG chest screening which showed multiple septation with thick parietal pleura and USG abdomen was normal.
Thoracoscopic view with pigmented parietal pleura.
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Moreover, the pleural effusion aspiration was performed and pleural fluid examination revealed exudative in character and thoracoscopic view of pleura was grayish with red background (Fig. 2).
HPE showed foamy macrophage with plasma cells and eosinophil.
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Pleural biopsy histological examination showed mixed cell infiltrate with predominantly foamy macrophages along with plasma cells, lymphocytes and eosinophils with capillary proliferation (Fig. 3).