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Calciumplrscnc

Published: July 31, 2026Updated: August 16, 2026

A test that measures the amount of calcium in the fluid surrounding the lungs to help diagnose the cause of fluid buildup.

Quick summary

{"This test measures calcium levels in fluid collected between the lungs and chest wall","It helps doctors determine if pleural fluid is caused by a benign condition or a more serious disease like cancer","The test is performed on a sample of pleural fluid obtained through thoracentesis","Results are compared with blood calcium levels to provide additional diagnostic information"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
14416-2
Short code
CA-PLEU
Synonyms
Calcium Plr-sCnc
Category
electrolyte
Sample
fluid
Container
Plain red top tube (serum separator) or lavender (EDTA) tube for fluid collection
Units
not specified
Ref low
8.5
Ref high
10.5
Critical range
6 not specified – 14 not specified
Fasting
false
Population
adult
Sex
all
Age range
0–120 years
Method
Colorimetric (Arsenazo III) or Ion-Selective Electrode (ISE)
CPT
82310
SNOMED
398540006
Specimen volume
1-2 mL minimum; 5-10 mL preferred for comprehensive analysis
Stability
Room temperature: 24 hours; Refrigerated (2-8°C): 72 hours; Avoid freezing
Hemolysis max
300
TAT
24–48 hours
Order
routine

What is this test?

The Pleural Fluid Calcium test measures the concentration of calcium in pleural fluid—the liquid that collects in the space between your lungs and chest wall (pleural space). This test is part of a larger group of tests called pleural fluid analysis, which helps doctors understand why fluid is accumulating in your chest.

Why is it performed?

Your doctor may order this test if you have pleural effusion (excess fluid in the pleural space). The test helps distinguish between different types of effusion: transudates (usually caused by heart failure, liver disease, or kidney problems) and exudates (often caused by infection, cancer, or inflammation). High calcium levels in pleural fluid may indicate certain types of cancer, particularly lung cancer or mesothelioma.

How is the sample collected?

The pleural fluid sample is collected through a procedure called thoracentesis. During this procedure, a doctor numbs the area and inserts a thin needle between your ribs to withdraw fluid from the pleural space. The sample is then sent to a laboratory for analysis.

What do the results mean?

Results are typically reported in millimoles per liter (mmol/L). Your doctor will interpret the results in conjunction with other tests and your overall clinical condition. While specific reference ranges may vary, significantly elevated calcium levels in pleural fluid (compared to blood levels) may warrant further investigation for underlying conditions.

Reference range

Adult: 8.5-10.5 mg/dLnot specified

Specimen: fluid

None required; specimen obtained by thoracentesis

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is the thoracentesis procedure painful?
You will receive a local anesthetic to numb the area, so you should feel minimal discomfort during the procedure. You may feel some pressure when the needle is inserted. After the procedure, you may experience some soreness at the insertion site.
How long does it take to get results?
Results are usually available within 1-2 days, though this may vary depending on the laboratory. Your doctor will contact you with the results and explain what they mean for your specific situation.
Do I need to fast before this test?
No fasting is typically required for the pleural fluid calcium test itself. However, if blood tests are also being done, follow your doctor's instructions regarding fasting.
What happens if my results are abnormal?
Abnormal results do not necessarily mean you have a serious condition. Your doctor will consider your symptoms, medical history, and results from other tests to determine the cause. Further testing may be recommended to confirm a diagnosis.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy