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Pulmonary edema facts. 1  Pulmonary edema is typically caused by filling of alveoli in the lungs by fluid leaking out of the blood. 2  Pulmonary edema may be caused by a number of cardiac or non-cardiac conditions.  Breathing difficulty is the main manifestation of pulmonary edema.
Fluid on the lungs (pleural effusion). When cancer affects the lungs, fluid can sometimes collect between the sheets of tissue that cover the outside of the lung and the lining of the chest cavity. These sheets of tissue are called the pleura. You can see the pleura (in red) in the diagram below. Doctors call this fluid collection a pleural effusion, as in the diagram below. The fluid stops the lung from fully expanding when you breathe. So as it builds up, the collected fluid causes shortness of breath.