Ultrasound as an alternative to aspiration for determining the nature of pleural effusion, especially in older people

Annals of the New York Academy of Sciences
Hamidreza SajadiehAmirreza Sajadieh

Abstract

Sonography was performed by two expert radiologists separately after selecting 80 patients (45 men and 35 women) whose pleural fluids had been aspirated and examined by the lab. The radiologists were given no clinical information concerning the patients, and the result compared with lab results. The radiologists evaluated three criteria in determining the nature of the pleural effusion: septation, echogenicity, and thickening of pleura by more than 3 mm. The study showed that the pleural effusion with septation or internal echogenicity is always an exudate. Also sonographic evidence of thickened pleura (more than 3 mm) is highly suggestive of an exudate. Although an anechoic effusion is more probably evidence of a transudate, we have seen it in 14% of patients with exudates. The lab results showed that there were 29 patients with transudates and 51 with exudates, and in ultrasound results there were 34 with transudates and 46 with exudates. A transudate is always without echogenicity, while exudates can be with or without echogenicity. It was therefore concluded that sonography is useful in determining the nature of pleural effusion.

References

Nov 1, 1992·Radiographics : a Review Publication of the Radiological Society of North America, Inc·M C DynesG G Ghahremani
Dec 1, 1992·Journal of Ultrasound in Medicine : Official Journal of the American Institute of Ultrasound in Medicine·R TarghettaL Pourcelot
Apr 1, 1992·Chest·R TarghettaP Balmes
Jun 1, 1994·Radiology·K L EibenbergerF Grabenwöger
Apr 1, 1997·AJR. American Journal of Roentgenology·K Wernecke
Jan 1, 1997·Ultrasound in Medicine & Biology·G Mathis
Jun 14, 2003·Current Opinion in Pulmonary Medicine·Tzu-Hsiu Tsai, Pan-Chyr Yang

❮ Previous
Next ❯

Citations

Mar 7, 2012·Intensive Care Medicine·Giovanni VolpicelliUNKNOWN International Liaison Committee on Lung Ultrasound (ILC-LUS) for International Consensus Conference on Lung Ultrasound (ICC-
Jul 13, 2011·Diagnostic and Therapeutic Endoscopy·Devanand AnanthamMariko-Siyue Koh
Nov 21, 2015·Interactive Cardiovascular and Thoracic Surgery·Massimiliano CantinottiLuna Gargani
Feb 25, 2014·Clinical Imaging·Matías Romero, Pablo Bächler
Oct 28, 2016·Current Infectious Disease Reports·Jean-Eudes BourcierDidier Garnier
Jan 26, 2011·Critical Care Medicine·Angelika ReissigClaus Kroegel
Aug 13, 2013·PloS One·Timothy Alexander Mousseau, Anders Pape Møller
Jul 7, 2018·Southern Medical Journal·Dustin MorrowNilam J Soni
Sep 11, 2020·Current Cardiology Reports·Keith Guevarra, Yonatan Greenstein
Dec 29, 2017·Critical Care : the Official Journal of the Critical Care Forum·E BrogiL Vetrugno
Oct 10, 2020·The European Respiratory Journal·Christian B LaursenNick Maskell
Nov 13, 2020·Journal of Bronchology & Interventional Pulmonology·Coşkun Doğan, Ersin Demirer

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Critical Care Medicine
Angelika ReissigClaus Kroegel
Emergency Medicine Clinics of North America
Joel P Turner, Jerrald Dankoff
Intensive Care Medicine
Daniel A LichtensteinAgnès Gepner
© 2022 Meta ULC. All rights reserved