Title: Ultrasound and CT Evaluation of Pleural Lesions
Authors: Dr Shivani Gogi, Dr M.Veena, Dr B. Sumithra, Dr N. Anil Kumar, Dr V. Shanthi Sree
DOI: http://dx.doi.org/10.18535/jmscr/v4i10.08
Aims And Objectives: To assess the value of Ultrasonography and Computed Tomography in evaluation of pleural lesions. To determine the Sensitivity and Specificity of Ultrasound and CT in pleural lesions. Summary: The present study was aimed at assessing the value of Ultrasonography and CT in evaluating the pleural lesions. In our study, during the period of 12 months 100 patients with pleural effusions were evaluated. The most common cause was transudates. Exudates consist of malignant and non malignant causes. Conclusion: The role of ultrasound and CT are complimentary, give high yield of positive results for pleural mass differentiation; useful for guided procedures, like pleural biopsy and pleural drainage. Combined study not only useful for localization of lesion but also gives information about the extent of disease and characterizing the tissue density by analysis of attenuation coefficient. Keywords: ultrasound, MDCT, pleural effusion, transudate and exudates. 1. M.C. Renda, A. Giambona, E. Fecarotta, F. Leto, G. Makrydimas, D. Renda, G. Damiani, M.C. Jakil, F. Picciotto, A. Piazza, M. Valtieri, A. MaggioEmbryo-fetal erythroid megaloblasts in the human coelomic cavity J. Cell. Physiol., 225 (2) (2010), pp. 385–389 2. Delrue L, Gosselin R, Ilsen B, Landeghem AV, de Mey J, and Duyck P. Difficulties in the interpretation of chest radiography. In: Coche EE et al., editors. Comparative interpretation of ct and standard radiography of the chest, medical radiology. Berlin Heidelberg: Springer-Verlag; 2011. p. 27–49. doi: 10.1007/978-3-540-79942-9_2 3. N.J. Stephens, J.M. PilcherThe diagnostic role of ultrasound in the chest ultrasound, 15 (3) (2007), pp. 148–158 4. Lips Comb DJ Flower CDR.Ultrasound in diagnosis and management of pleural disease. BrJ Dis Chest 1980;74:353-361 5. Paddock FK. The diagnostic significance of serous fluids in disease N.Engl J Med 1940;223:1010-1015 6. D B Chang; P C Yang; K T Luh; S H Kuo; C J Yu Ultrasound guided pleural biopsy Chest 1991;100(5):1328-1333 7. NL Müller - Imaging of pleura Radiology, 1993;186:297-309. 8. RJ Waite, RJ Carbonneau, JP Balikian,.,et al. Parietal pleural changes in Empyema: appearance at CT.Radiology 1990; 175:145-150 9. Dwyer A, The displaced crus: A sign for distinguishing between pleural fluid and ascites on computed tomography. J Comput Asst Tomogr • 1978;2:598-599. 10. ROBERT A. HALVORSEN, MD,*f PETER J. FEDYSHIN, MD.tt MELVYN KOROBKIN, MD,f§ AND WILLIAM M. THOMPSON, CT differentiation of ascites and pleural effusion –invest radiology 1986:21:391-395. 11. Hsu C Cytologic detector of malignancy in pleural effusions.A diagnosiss cytopathol 1987 Vol.3 issue 1 ,8-12 . 12. Kreel L. Computed tomography in Meso-theliomas. Semin Oncol 1981;8:302-312.Abstract
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