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The subpulmonic pleural effusion: sonographic aspects

D G Connell, G Crothers, P L Cooperberg

    Journal of the Canadian Association of Radiologists
    |June 1, 1982
    PubMed
    Summary
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    Ultrasound can miss pleural effusions when patients are lying down. Performing ultrasound with patients sitting or standing is crucial for accurately diagnosing pleural effusions.

    Area of Science:

    • Medical Imaging
    • Pulmonology
    • Diagnostic Ultrasound

    Background:

    • Pleural effusions can be challenging to diagnose using imaging.
    • Supine patient positioning may obscure small or loculated effusions on ultrasound.

    Observation:

    • A case study involving a patient with a subpulmonic pleural effusion identified on chest radiography.
    • The effusion was initially not detected via supine sonography.

    Findings:

    • Upright ultrasound examination clearly visualized the previously undetected pleural effusion.
    • Patient positioning significantly impacts the diagnostic yield of ultrasound for pleural effusions.

    Implications:

    • Standardizing ultrasound protocols to include upright positioning can improve pleural effusion detection rates.

    Related Experiment Videos

  • This highlights the importance of dynamic imaging techniques in respiratory diagnostics.
  • Enhanced diagnostic accuracy can lead to timely and appropriate patient management.