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New air-fluid levels in bullous lung disease: a reevaluation
M S Richardson1, V D Reddy, C A Read
1Georgetown Department of Medicine, District of Columbia General Hospital, Washington, DC 20003, USA.
Abstract:
Air-fluid levels appearing in lung bullae are always considered to indicate infection and therefore conservative management with prolonged antibiotics and observation to resolution is the recommended approach. This article presents a case of bullous lung disease with new air-fluid levels, in which a diagnosis of malignancy was made by aspiration of the fluid. This association is discussed and a more aggressive evaluation of such patients to include computed tomography of the chest and fluid sampling is recommended before a presumption of benignity is made.
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