Abstrakt

Thoracic sonography is the most sensitive method for visualizing pleural effusions. Even complicated pleural effusions can be detected quickly and without the use of ionizing radiation. The sign of a pleural effusion is typically a hypoechoic area between the two pleural sheets. The basic description of a pleural effusion includes estimating the volume and assessing whether it is a simple or complex effusion. A complex effusion can be defined as an effusion with septations or other structures in the fluid. In expert hands, lung ultrasound will replace chest radiography as the imaging of choice for the diagnosis of pneumonia in the next few years, as numerous clear meta-analyses have shown. Pneumonia can be diagnosed sonographically by various sonomorphological criteria. These include the liver-like echo texture on the B-scan, the detection of a bronchoaerogram or a fluid bronchogram, and the blurred boundary to the surrounding air-filled lung. In addition, a strong pulmonary arterial vascularization can be visualized by color duplex sonography. Lung ultrasound in the diagnosis of pneumonia and pleural effusion is quick to perform and can be learned quickly with appropriate training.

Autoreninformation

Autoren

• F.M. Wilkens¹
• A. Heinzmann²

Abteilungen

• ¹ Abteilung für Pneumologie, Thoraxklinik Heidelberg, Universitätsklinik Heidelberg, Heidelberg,
• ² Medizinische Klinik I, Klinikum am Steinenberg Reutlingen, Reutlingen

Adresse

Finn Moritz Wilkens
Abteilung für Pneumologie
Thoraxklinik Heidelberg
Universitätsklinik Heidelberg
Röntgenstraße 1, 69126 Heidelberg
Email: [email protected]

Citation