Role of Chest Ultrasound in Assessment of Different Pleural Lesions
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 3
Abstract
Background: Ultrasound is useful in lung and pleural evaluation due to its real-time response characteristics. Add to that, its portability, bed-side availability and absence of ionizing radiation; therefore, it is a safe technique for all patients. It can evaluate abnormalities in the peripheral lung parenchyma, pleura and chest wall. It may also be used to guide invasive procedures, such as pleural puncture, biopsy and chest tube insertion.Aim of the Work: to evaluate the role of ultrasound for diagnosis and assessment of different pleural lesions and the possibility to differentiate between benign and malignant pleural diseases. Patients and methods: This study was conducted on 30 patients. They were referred to radiology department at National cancer institute and Ain Shams University hospitals with different pleural lesionsbetween May and December of 2018. Results:Compared to CT scans, US is easier to perform and may better differentiate between pleural thickening and pleural effusion. Besides, it could detect very low amounts of effusion, as low as 3-5 ml of fluid. Chest ultrasound also served a role in tissue characterization through identifying morphology of growth in forms of non-uniformity of the pleura and heterogeneity of different tissues. Conclusion: Pleural ultrasound was a reliable tool in evaluation of different aspects of pleural growth and neoplasia, detection of the extent of spread to the chest wall and diaphragm in neoplastic lesions and predicting the nature of the pleural effusion through detecting internal echoes and septations.
Authors and Affiliations
Fatma E. Salama, Wessam S. Shokry, AmrM. Abdel Samad
Keywords
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- EP ID EP557970
- DOI 10.9790/0853-1803146672.
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