Trapped Lung and Mononuclear Predominant Exudate with Pleural Cytology Tree Times Negative

Authors

  • Giannozzi Lucrezia Pneumology Service, Insular University Hospital, Las Palmas GC, Spain. Author
  • Arianna Michelle Rodríguez Mosquera Pneumology Service, Insular University Hospital, Las Palmas GC, Spain Author
  • Carmen Manzano Ramos Pneumology Service, Insular University Hospital, Las Palmas GC, Spain Author
  • Idalays Pulido Hernández Pneumology Service, Insular University Hospital, Las Palmas GC, Spain Author
  • Yolanda Bedmar Castillo Pneumology Service, Insular University Hospital, Las Palmas GC, Spain Author
  • Rubén Sánchez Sánchez Pneumology Service, Insular University Hospital, Las Palmas GC, Spain Author
  • Manuel Rodrigo Garzón Pneumology Service, Insular University Hospital, Las Palmas GC, Spain Author

DOI:

https://doi.org/10.47363/JHS/2026(2)116

Keywords:

Pleural Effusion, Mononuclear Predominant Exudate, Trapped Lung, Breast Cancer in Complete Remission, Bronchoscopy

Abstract

Pleural effusions can develop as a result of over fifty different pleuropulmonary or systemic disorders of both benign and malignant etiologies. Consequently, the evaluation of patients with a pleural effusion is challenging since the differential diagnosis is broad. We present a case of a middle-aged woman with a left pleural effusion compatible with mononuclear predominant exudate and ADA level <40 units/L, her medical history includes being a heavy smoker with a history of breast cancer in complete remission, who underwent thoracentesis and pleural fluid analysis on three occasions, cytology being negative every time, she had a trapped lung, thoracoscopic biopsy with no evidence of malignancy, was finally diagnosed with bronchoscopy.

Author Biographies

  • Giannozzi Lucrezia, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain.

    Giannozzi Lucrezia, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain.

  • Arianna Michelle Rodríguez Mosquera, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

    Arianna Michelle Rodríguez Mosquera, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

  • Carmen Manzano Ramos, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

    Carmen Manzano Ramos, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

  • Idalays Pulido Hernández, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

    Idalays Pulido Hernández, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

  • Yolanda Bedmar Castillo, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

    Yolanda Bedmar Castillo, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

  • Rubén Sánchez Sánchez, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

    Rubén Sánchez Sánchez, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

  • Manuel Rodrigo Garzón, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

    Manuel Rodrigo Garzón, Pneumology Service, Insular University Hospital, Las Palmas GC, Spain

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Published

2026-07-30