Introduction: Lymphocytic lymphoma (LBL) mainly owed for around 2% of all lymphoma (NHL) occurrences, with 90% of cases being of the unformed T- stem cell lineage. B-LBL (precursor B-cell LBL) is rare accounting for fewer otherwise 10% of all LBL cases and 3% of person NHL. When the disease is limited to lymph nodes and extranodal lesions to mass lesions or extrapulmonary lesions, the term LBL is employed. Clinical Finding: After the physical examination and investigation doctor diagnosed a case of bilateral pleural effusion with pulmonary edema patient was treated with the antacid drug, an antiemetic drug to prevent nausea and vomiting. Therapeutic Intervention: Medical management was provided to the patient Tab.pantop, Tab.Omnacortil, Tab. Amlodipine, Syp.Septra, Syp.calcimax-P. He was taking all treatment and the outcomes were good.Outcomes: The patient was taken medication as per the doctor's order such as antiemetic for nausea and vomiting. And also, the patient's condition was good with the medical treatment. Now patient symptoms have been reduced and she had in better condition. Nursing Perspectives: Fluid replacement, i.e., DNS and NS, was administered. Check the vital signs and blood pressure every hour. Maintain the intake and output chart, and ensure that the patient gets enough rest and sleep. Administer medication as per the doctor's order.Conclusion:The was admitted to AVBR Hospital with Chief complaints of fever, nausea, vomiting, bruising, pale yellow skin. The patient was treated antipyretic drug to prevent fever.

Lymphoblastic lymphoma, B cell, t-cell, leukemia.