Patient: the right side of the chest is full, the right lung can be seen in the strips, pieces off solid shadow, the large airway is clear, the mediastinum is still in the center, the vascular space and the trachea can be seen in front of the lymph node shadow, the right side of the massive pleural effusion caused by the compression of the lungs, lung compression of one-third of the fluid accumulation of the approximate amount of water? How much is the effusion? Wang Cheng, Department of Thoracic Surgery, Shandong Provincial Chest Hospital Wang Cheng, Department of Thoracic Surgery, Shandong Provincial Chest Hospital: Is tuberculous pleurisy diagnosed? If the diagnosis has been confirmed, the following treatment is recommended: in the regular anti-TB treatment, you can go to the specialized hospital to perform thoracentesis to extract fluid or place a minimally invasive tube to perform closed drainage of the thoracic cavity; if the pleural fluid disappears after the above treatment and the lungs are reopened well, you can continue the regular anti-TB treatment, and go to the specialized hospital to have a review regularly to accept the guidance. If the pleural fluid is not reduced satisfactorily after the above treatments and the lungs do not reopen well, it means that the pleural fibrous plate has been thickened, and after appropriate anti-TB treatments, pleural fibrous plate stripping can be considered to be performed in specialized hospitals. If this kind of disease is not treated timely or improperly, it will affect the lung function of the patient, so please make sure to go to specialized hospitals for timely diagnosis and treatment. The pleural fluid is about 1000ml or more, and the condition is more serious. Patient: Tuberculosis pleurisy has been diagnosed Originally we also want to be hospitalized for pumping, but I heard many doctors say that it is better not to pump when there is not much fluid, and let it absorb by itself, and I want to consult again how much fluid there is in general before pumping. Wang Cheng, Department of Thoracic Surgery, Shandong Provincial Chest Hospital: Since the diagnosis has been confirmed, according to the chest radiographs provided by you, there are signs of pleural thickening, you should go to a professional hospital to try thoracic puncture and pumping fluids or placing a minimally invasive tube to carry out thoracic closed drainage, and observe whether the lungs can be completely reopened, and if the effect of the above treatments is not satisfactory, then it means that the pleural fibrous plate has been thickened, and a residual cavity has been formed between the dirty layer and the wall layer of the pleura, and after appropriate anti-TB treatment, you can consider going to a professional hospital. After appropriate anti-tuberculosis treatment, pleural fibroplasty can be considered in specialized hospitals. If this kind of disease is not treated in time or improperly, it will affect the lung function of the patient, so please make sure to go to a specialized hospital and ask a professional doctor to diagnose and treat the disease in time. If the pleural fibrous plate has been thickened and a residual cavity has been formed between the dirty layer and the wall pleura, surgical treatment should be considered regardless of the amount of fluid accumulated within it. Based on the chest radiographs you provided, I think this patient should be hospitalized in a specialized hospital.