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Table 1

Characterization of Pleural Fluid

TransudateModified TransudateNon-septic ExudateSeptic ExudateChyleHemorrhage
ColorColorless to pale yellowYellow or pinkYellow or pinkYellow to red-brownMilky whiteRed
TurbidityClearClear to cloudyClear to cloudy; fibrinCloudy to opaque; fibrinOpaqueOpaque
Protein (g/dL)<1.52.5–5.03.0–8.03.0–7.02.5–6.03.0
Nucleated cells/µL<1,0001,000–7,000 (LSA up to 100,000)5,000–20,000 (LSA up to 100,000)5,000–300,0001,000–20,000Similar to peripheral blood
CytologyMostly mesothelial cells and macrophagesMostly macrophages and mesothelial cells; few nondegenerate PMNs; neoplastic cells in some casesMostly nondegenerate PMNs and macrophages; neoplastic cells in some casesMostly degenerate PMNs; also macrophages; bacteriaSmall lymphocytes, PMNs, and macrophagesMostly RBCs; with erythrophagocytosis
Disease associationsHypoalbuminemia (protein-losing nephropathy, protein-losing enteropathy, or liver disease); early CHFCHF; neoplasia; diaphragmatic hernia; pancreatitisFIP; neoplasia; diaphragmatic hernia; lung lobe torsionPyothoraxLymphangiectasia, CHF, cranial vena cava obstruction, neoplasia, fungal, dirofilariasias, diaphragmatic hernia, lung lobe torsion, traumaTrauma, coagulopathy, neoplasia, lung lobe torsion

Modified from Sherding RG. Diseases of the pleural cavity. In: Sherding RG, ed. The Cat: Diseases and Clinical Management, 2nd ed. New York: Churchill Livingstone, 1994, p. 1061.