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[Pulmonary atelectasis and massive pleural effusion. Echocardiography]
A Zuppiroli1, S Favilli, F Cecchi
1Servizio di Cardiologia S. Luca, Ospedale Civile, Careggi, Firenze.
Giornale Italiano Di Cardiologia
|December 1, 1987
Summary
Two Dimensional Echocardiography (2D-E) can detect pulmonary atelectasis in cases of massive pleural effusion. This imaging technique reveals a characteristic triangular, liver-like mass in specific views, aiding diagnosis.
Area of Science:
- Cardiology
- Pulmonology
- Medical Imaging
Background:
- Massive pleural effusion can obscure pulmonary structures, complicating diagnosis.
- Accurate detection of pulmonary atelectasis is crucial for patient management.
- Echocardiography is primarily used for cardiac assessment but can offer insights into adjacent structures.
Observation:
- Two Dimensional Echocardiography (2D-E) identified pulmonary atelectasis in patients with massive pleural effusion.
- A distinct triangular mass with a liver-like texture was observed.
- The mass demonstrated characteristic movement within the pleural cavity.
Findings:
- 2D-E visualized pulmonary atelectasis as a triangular, liver-like mass.
- Specific views (apical for left, subcostal for right effusions) were optimal for visualization.
- The apex of the mass showed free movement in the pleural space.
Implications:
- 2D-E provides a valuable, non-invasive method for diagnosing pulmonary atelectasis associated with pleural effusion.
- This technique aids in differentiating atelectasis from other pleural masses like metastases.
- Further research may expand the utility of echocardiography in diagnosing non-cardiac conditions.