By Gebhard Mathis, Klaus D. Lessnau
Krankenhaus der Stadt Hohenems, Austria. Translation of the textual content, Bildatlas der Lungen-und Pleurasonogrphie, three. Auflage, c2001. provides the state of the art in chest research by way of ultrasonography. contains illustrations, symptoms, learn innovations, and photo artifacts.
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Extra info for Atlas of Chest Sonography
23). The success of the procedure can also be confirmed after thoracoscopic pleurodesis following a spontaneous pneumothorax (Leo et al. 2005). If the pleurodesis is not entirely successful, distinction between residual effusion with septation, lung invasion or partial atelectasis of the lung is better achieved by sonography than by radiological imaging procedures (Fig. 24). 6 Pleurodesis In cases of malignant pleural disease with recurrent large pleural effusions and subsequent dyspnea, mainly in pleural carcinosis, pleurodesis is a great boon as a palliative measure.
Due to the clinical suspicion of an occult carcinoma, the patient underwent multiple transthoracic biopsy, each time with only connective and scar tissue. The fibrosis proved later to indeed be the pleural carcinoma of an adenocarcinoma of indistinct primary localization. The area between the arrows is believed to be the former pleural fissure line. c An image almost identical to those in a and b, but a histologically proven pleural mesothelioma in an asbestos worker movability of the pleura, the gliding sign, is absent.
1999). For the pathologist, a distinction between activated mesothelia and mesothelioma cells is difficult when the specimen is small. After operative or thoracoscopic excision of biopsy specimens, 40% of patients with mesothelioma develop vaccination metastases in the chest wall. However, 0–15% also develop these after percutaneous biopsy and particularly along the drainage canals after aspiration of large effusions (Boutin and Rey 1993; Geiger et al. 2003;, Heilo et al. 1999). , at a dose of 7 Gy administered three times, is recommended.
Atlas of Chest Sonography by Gebhard Mathis, Klaus D. Lessnau