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lead to delayed presentation. The paradoxical reaction is very common but most of it subsided spontaneously. The yield of mycobacteria is shown to be very low in pleural effusions as it is a pauci-bacillary disease. The present study looked at the yield of mycobacterium tuberculosis (MT in terms of GeneXpert for acid fast bacilli (AF and culture using a medical thoracoscopy guided biopsy and analysed whether the yield increases in more complicated effusions. This is a retrospective analysis of patients who underwent medical thoracosc