TABLE 1

Mechanisms of production of a pleural effusion

MechanismType of pleural effusion
Increased hydrostatic pressure in the capillaries of the visceral pleuraTransudate
Decrease in oncotic pressure in pleural capillariesTransudate
Decrease in hydrostatic pressure in the pleural spaceTransudate
Increased permeability of pleural capillariesExudate
Impaired lymphatic drainage of the pleural spaceExudate
Movement of fluid from the peritoneal spaceTransudate/exudate
Sometimes chylothorax
Thoracic duct injuryChylothorax
Vascular ruptureHaemothorax