Empyema ultrasound

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Empyema Microchapters

Patient Information

Overview

Classification

Subdural empyema
Pleural empyema

Differential Diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Ultrasound

Thoracic ultrasound have greater sensitivity in detecting pleural effusions than clinical examination or chest radiographs (AP or lateral).[1] Thoraxic ultrasound is the next prefered imaging test after chest xray.[2][1]

Ultrasound in empyema is positive for suspended microbubble sign, air fluid level, curtains sign and loss of gliding sign.[3]

References

  1. 1.0 1.1 Eibenberger KL, Dock WI, Ammann ME, Dorffner R, Hörmann MF, Grabenwöger F (1994). "Quantification of pleural effusions: sonography versus radiography". Radiology. 191 (3): 681–4. doi:10.1148/radiology.191.3.8184046. PMID 8184046.
  2. Stavas J, vanSonnenberg E, Casola G, Wittich GR (1987). "Percutaneous drainage of infected and noninfected thoracic fluid collections". J Thorac Imaging. 2 (3): 80–7. PMID 3302292.
  3. Lin FC, Chou CW, Chang SC (2004). "Differentiating pyopneumothorax and peripheral lung abscess: chest ultrasonography". Am J Med Sci. 327 (6): 330–5. PMID 15201646.

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