Contrast-Enhanced Ultrasound for Evaluation of Pleural Effusion: A Pictorial Essay.

Ehsan Safai Zadeh, Christian Görg, Christoph F Dietrich, Jannis Görlach, Amjad Alhyari, Corinna Trenker

Journal: Journal of ultrasound in medicine : official journal of the American Institute of Ultrasound in Medicine 2022;41(2):485-503

PMID: 33782994

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Abstract

B-mode ultrasound (B-US) is the standard imaging modality to evaluate pleural effusion. The value of B-US for assessing the malignancy of a pleural effusion (PE) is limited. For this purpose, computed tomography (CT) and thoracoscopy are the methods of choice to evaluate an effusion. The aim of this Pictorial Essay is to demonstrate contrast-enhanced ultrasound (CEUS) as a method in addition to B-US and CT for the evaluation of PE taking into account the clinical background. The characteristic patterns of pleural pathologies, effusion morphology, and associated lung parenchymal consolidations are presented.

Address: Interdisciplinary Centre of Ultrasound Diagnostics, University Hospital Giessen and Marburg, Philipps University Marburg, Marburg, Germany.; Gastroenterology, Endocrinology, Metabolism and Clinical Infectiology, University Hospital Giessen and Marburg, Philipps University Marburg, Marburg, Germany.; Department Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Bern, Beau Site, Salem und Permanence, Bern, Switzerland.; Department of Diagnostic and Interventional Radiology, University Hospital Giessen and Marburg, Philipps University Marburg, Marburg, Germany.; Haematology, Oncology and Immunology, University Hospital Giessen and Marburg, Philipps University Marburg, Marburg, Germany.

DOI: 10.1002/jum.15705

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MeSH Terms: Humans, Lung, Pleural Effusion, Thoracoscopy, Tomography, X-Ray Computed, Ultrasonography