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By Gebhard Mathis

Chest sonography is a longtime method within the stepwise imaging prognosis of pulmonary and pleural ailment. it's the approach to option to distinguish among stable and liquid lesions and permits the investigator to make an unequivocal prognosis with out exposing the sufferer to high priced and annoying methods. This ebook provides the state-of-the-art in chest research via ultrasonography. a couple of first-class illustrations and the compact textual content offer concise and easy-to-assimilate information regarding the diagnostic strategy.

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Extra resources for Chest Sonography

Sample text

On sonography the peripheral lung tumor is usually seen as a hypoechoic mass extending up to the chest wall. Local breath-dependent 3 38 Chapter 3 • The Pleura 3 . Fig. 38 Extended moderate echogenic masses in the pleura with irregularly angular contours are ambiguous and need histological confirmation by biopsy, if other reliable clinical data are not available. a Extended pleural fibrosis in a young woman after multiple operations. A primary pleural peel was erroneously thought to be a tumor and led to the first operation.

It is not always possible to distinguish between displacement and invasion sonographically. 3 • Solid Pleural Changes . Fig. 31 Hemispheric hypoechogenic pleural metastasis with poorly delineated lateral processes and chest wall infiltration. Absent pleural effusion. Known breast carcinoma. In such an unusual pleural finding, a peripheral bronchial carcinoma cannot be excluded tory movement of the lung is an indication of malignant growth and infiltration. Small accompanying pleural effusions around the tumor or in the angle between the chest wall and diaphragm can also occur with benign tumors.

ACC a. carotis communis . Fig. 23 a Epidermoid carcinoma at the right apex of the lung, in dorsal location, invading the chest wall. 3 Summary Visualization of lymph nodes and cautious assessment of the malignant or benign nature of a lesion is an important indication for sonography of the chest wall. All ambiguous lesions in the chest wall are well accessible to sonography-guided aspiration for histological confirmation of the diagnosis, if such confirmation is required for therapy. The risk of aspiration is very low owing to the favorable location of the lesions.

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