# Green Pleural Effusion in a Patient With Hodgkin Lymphoma

## TL;DR

A patient with Hodgkin lymphoma presented with a rare green pleural effusion, diagnosed through imaging and biopsy.

## Contribution

Highlights a rare clinical presentation of Hodgkin lymphoma with green pleural effusion due to increased fluid viscosity.

## Key findings

- Computed tomography revealed hilar, mediastinal, and supraclavicular adenopathy with pulmonary nodules and a left-sided pleural effusion.
- Thoracentesis identified a green pleural effusion, a rare finding attributed to increased pleural fluid viscosity in lymphoma.
- Core biopsy confirmed the diagnosis of Hodgkin lymphoma following a systematic workup.

## Abstract

A 35-year-old man presented with fever, drenching sweats, severe shoulder pain, and bilateral cervical and supraclavicular lymphadenopathy on physical exam. Computed tomography of the chest showed hilar, mediastinal, and supraclavicular adenopathy, multiple pulmonary nodules, and a left-sided pleural effusion. Thoracentesis revealed a green pleural effusion. After a systematic workup and core biopsy analysis of a supraclavicular lymph node, the patient was diagnosed with Hodgkin lymphoma. The green pleural effusion fluid was attributed to increased pleural fluid viscosity rarely seen in patients with lymphoma.