Pleural fluid protein3.5 g/dL
Pleural fluid sugar152 mg/dL
Pleural fluid ADA7.1 U/L (normal <24)
Pleural fluid LDH486 U/L
Pleural fluid cytology:
Cell count: 212 cells/mm3.
DC: lymphocytes 65%, reactive mesothelial cells 32% and neutrophils 3%.
Smears studied are highly cellular and show predominantly lymphocytes, few reactive mesothelial cells and occasional neutrophils against haemorrhagic background.
Few atypical cells having multinucleation, high N:C ratio, coarse chromatin and prominent nucleoli and irregular nuclear margins are also seen.
Impression :
IAC system of reporting fluid cytology—category III—atypical (most probably secondary to viral infection).4