Logo

OpiCalc

FavoritesSpecialtiesDrugsGuidelinesMost Used

All Specialties

OpiCalc Logo
FavoritesSpecialtiesDrugsGuidelinesMost Used
FavesSpecsDrugsGuidesTop
ABCD2 ScoreACR CriteriaCorrected SodiumFENaHEART ScoreLights CriteriaNEWS2NRS-2002Osmolality GapRCRI (Lee Score)TTKG
OpiCalc Logo

OpiCalc

Easy, fast, and private medical tools for clinicians. Always free.

No Login Required
Ready for the Bedside

Resources

About UsEditorial PolicyMedical DisclaimerPrivacy PolicyTerms of UseCookie Policy

Support

Contact Us

Clinical Notice:OpiCalc is not a substitute for professional clinical judgment. Always verify dosages and guidelines.

OpiCalc © 2018-2026

•

All Rights Reserved

Lights Criteria

Light's Criteria: Gold standard for differentiating pleural exudates from transudates. ≥ 1 of 3 criteria met = exudate. Sensitivity 98%, Specificity 83%.
Guidelines & Evidence

Verified

Last Review: 2026

When to Use

When to Use

Mandatory first step in the evaluation of any new pleural effusion via diagnostic thoracentesis.
Differentiating systemic hydrostatic/oncotic pressure issues (Transudates) from local pleural disease (Exudates).
Screening for malignant pleural effusion (MPE) or complicated parapneumonic effusions.

Transudate vs. Exudate Etiology

TransudatesCHF (86%), Cirrhosis (7%), Nephrotic Syndrome, Peritoneal Dialysis.
ExudatesMalignancy (41%), Infection/Pneumonia (25%), TB (9%), PE, Uremia.

Last Comprehensive Review: 2026

Related Internal Medicine Tools

NRS-2002
TTKG
Corrected Sodium
ACR Criteria
Osmolality Gap
RCRI
FENa
ABCD2 Score
HEART Score
NEWS2
Internal Medicine CalculatorsCardiology CalculatorsPulmonary Calculators
Have feedback about this calculator?Let us know.

Recent Journal Updates

CancerJun 5, 2026
Executive summary of American Radium Society Appropriate Use Criteria for the treatment of locoregionally recurrent rectal cancer

Clinical Context

We think this might be relevant to the clinical guidance for Light's Criteria.

DiabetologiaJun 5, 2026
MASLD, diabetes and PMOS across the female life stages

Clinical Context

We think this might be relevant to the clinical guidance for Light's Criteria.

JAMAJun 2, 2026
Audio Highlights May 8, 2026

Clinical Context

We think this might be relevant to the clinical guidance for Light's Criteria.