scholarly journals Lung Ultrasound (LUS) in Pulmonary Tuberculosis: Correlation with Chest CT and X-Ray Findings.

2021 ◽  
Author(s):  
Federico Giannelli ◽  
Diletta Cozzi ◽  
Edoardo Cavigli ◽  
Irene Campolmi ◽  
Francesca Rinaldi ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Lung Ultrasound ◽  
Cost Effective ◽  
Ethics Committee ◽  
Chest Ct ◽  
University Hospital ◽  
Microbiological Analysis ◽  
X Ray ◽  
Non Invasive ◽  
Chest X Ray

Abstract Background The aim is to describe lung ultrasound (LUS) findings in a cohort of patients with suspected pulmonary tuberculosis (PTB) and compare them with computed tomography (CT) and chest x-ray (CXR) findings in order to evaluate the potentiality of LUS in TB diagnosis. Methods In this prospective study, 82 subjects with suspected TB were enrolled after being evaluated with CXR and chest CT. LUS was performed by blinded radiologists within 3 days after admission. A semiquantitative index was used: score 1 (lesions that extend for about 1 - 15% of the affected zone), score 2 (15 - 40%) and score 3 (40-100%).Results Microbiological analysis confirmed TB diagnosis in 58/82 (70.7%). CT was positive in all patients, LUS in 79/82 (96,3%) CXR in 78/82 (95,1%) and adding LUS and CXR in 100%. In PTB patients we found a great number of lungs zones with micronodules and with total findings than non-TPB patients (p<0,05). Overall LUS sensitivity was 80%, greater for micronodules (82%) and nodules (95%), lower for consolidation with air bronchogram (72%) and cavitations (33%). We reported 5 complicated pleural effusion at LUS, only 1 in CT. CXR overall sensitivity was 81%. Adding CXR and LUS findings we reported a sensitivity of 90%. Conclusion LUS could be considered a valid, non-invasive and cost-effective diagnostic tool especially in world regions where CT were not available, also in addiction with CXR. Trial Registration This study was approved by the Ethics Committee of our University Hospital (rif. CEAVC 14816).

scholarly journals Aetiological Pattern of Haemoptysis in a Tertiary Level Hospital in Bangladesh

1970 ◽  
Vol 22 (1) ◽  
pp. 22-25 ◽  
Author(s):  
M Khalilur Rahman ◽  
MM Rahman Khan ◽  
MH Tarik ◽  
MA Alim ◽  
MH Rashid ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Bronchial Carcinoma ◽  
Cost Effective ◽  
Lung Abscess ◽  
College Hospital ◽  
X Ray ◽  
Medical College ◽  
Chest X Ray ◽  
Valvular Diseases ◽  
Aetiological Diagnosis

To identify the causes of haemoptysis and to diagnose the diseases clinically and cost effective laboratory investigations in our situation. Fifty consecutive cases of haemoptysis admitted at Rajshahi Medical College Hospital, Rajshahi during 2000-2001 were prospectively studied .Pulmonary tuberculosis was the commonest found in 19 (38%) cases. Tuberculer bacilli could be isolated in 5 (26.31%) of the cases. Eight (16%) patients were mitral valvular diseases . Bronchial carcinoma was 4(8%) of the series. Three patients (6%) were lung abscess. Six patients (12%) had bronchiectasis. Five patients (10%) had pneumonia. Remaining five (10%) patients were miscellaneous aetiology. In the present series it has been found that pulmonary tuberculosis and mitral valvular disease comprise 54% of the cases. Chest X-ray and sputum examination were found to be the two most useful investigations necessary for aetiological diagnosis of haemoptysis. Within limited resources the aetiological diagnosis of haemoptysis can easily be done in the majority of cases by doing chest X-ray and sputum examination in our country. DOI: 10.3329/taj.v22i1.5015 TAJ 2009; 22(1): 22-25

Lung ultrasound (LUS) in pulmonary tuberculosis: correlation with chest CT and X-ray findings

2022 ◽  
Author(s):  
Federico Giannelli ◽  
Diletta Cozzi ◽  
Edoardo Cavigli ◽  
Irene Campolmi ◽  
Francesca Rinaldi ◽  
...  
Keyword(s):  
Pulmonary Tuberculosis ◽  
Lung Ultrasound ◽  
Chest Ct ◽  
X Ray

scholarly journals Lung Ultrasound: new Opportunities for a Cardiologist

Kardiologiia ◽  
2020 ◽  
Vol 60 (1) ◽  
pp. 81-92
Author(s):  
A. Z. Arystan ◽  
Y. T. Khamzina ◽  
V. V. Benberin ◽  
D. V. Fettser ◽  
Y. N. Belenkov
Keyword(s):  
Lung Ultrasound ◽  
Ultrasound Examination ◽  
Cost Effective ◽  
Diagnostic Value ◽  
Ultrasound Finding ◽  
Time Saving ◽  
X Ray ◽  
Cardiac Decompensation ◽  
Chest X Ray

This review focused on ultrasound examination of lungs, a useful complement to transthoracic echocardiography (EchoCG), which is superior to chest X-ray in the diagnostic value. The lung acoustic window always remains open and allows obtaining high-quality images in most cases. For a cardiologist, the major points of the method application are determination of pleural effusion and lung congestion. This method has a number of advantages: it is time-saving; cost-effective; portable and accessible; can be used in a real-time mode; not associated with radiation; reproducible; and highly informative. The ultrasound finding of wet lungs would indicate threatening, acute cardiac decompensation long before appearance of clinical, auscultative, and radiological signs of lung congestion. Modern EchoCG should include examination of the heart and lungs as a part of a single, integrative ultrasound examination.

scholarly journals Lung Ultrasound in Patients With Dyspnea From Infective Lung Disease

2021 ◽  
Vol 8 ◽  
Author(s):  
Pierluigi Bracciale ◽  
Salvatore Bellanova ◽  
Cristiana Cipriani
Keyword(s):  
Pleural Effusion ◽  
Lung Disease ◽  
Lung Diseases ◽  
Lung Ultrasound ◽  
Cross Sectional Study ◽  
Chest Ct ◽  
Cross Sectional ◽  
X Ray ◽  
Significant Difference ◽  
Chest X Ray

Infective lung disease is a spectrum of pulmonary disorders with high prevalence in clinical practice. In the last decade, many studies focused on the clinical usefulness of lung ultrasound (LUS) in the management of patients presenting with dyspnea from infective lung disease. We report data on the methodological and standardized use of bedside LUS in the differential diagnosis of patients with acute dyspnea from infective lung diseases. We performed a cross-sectional study in 439 patients (160 women and 279 men, mean age 64.2 ± 11.5 years, age range 23–91 years) with infective lung diseases. A bedside LUS with a convex probe and chest X-ray were performed in all subjects. Chest CT was performed in a subgroup of patients, as clinically needed. We observed a statistically significant difference in the percentage of pleural effusion and pulmonary consolidation assessed by LUS, compared to X-ray (52.7 vs. 20%, respectively, p &lt; 0.05; 93.6 vs. 48.2%, p &lt; 0.001). The majority of the consolidations detected by LUS were mixed, hypo- and hyperechoic, lesions, with air bronchogram in 40% of cases. All findings assessed by LUS were confirmed by chest CT, when performed. We describe the actual role of LUS in the assessment of patients with infective lung disease. It has higher sensitivity compared to chest X-ray in the detection of pleural effusion. Consolidations from infective lung disease have mostly mixed echogenicity by LUS.

scholarly journals Chest X-ray and chest CT findings in patients diagnosed with pulmonary tuberculosis following solid organ transplantation: a systematic review

2018 ◽  
Vol 44 (2) ◽  
pp. 161-166 ◽  
Author(s):  
Irai Luis Giacomelli ◽  
Roberto Schuhmacher Neto ◽  
Edson Marchiori ◽  
Marisa Pereira ◽  
Bruno Hochhegger
Keyword(s):  
Systematic Review ◽  
Pulmonary Tuberculosis ◽  
Organ Transplantation ◽  
Solid Organ Transplantation ◽  
Chest Ct ◽  
Solid Organ ◽  
Imaging Findings ◽  
Transplant Recipients ◽  
X Ray ◽  
Chest X Ray

ABSTRACT The objective of this systematic review was to select articles including chest X-ray or chest CT findings in patients who developed pulmonary tuberculosis following solid organ transplantation (lung, kidney, or liver). The following search terms were used: “tuberculosis”; “transplants”; “transplantation”; “mycobacterium”; and “lung”. The databases used in this review were PubMed and the Brazilian Biblioteca Virtual em Saúde (Virtual Health Library). We selected articles in English, Portuguese, or Spanish, regardless of the year of publication, that met the selection criteria in their title, abstract, or body of text. Articles with no data on chest CT or chest X-ray findings were excluded, as were those not related to solid organ transplantation or pulmonary tuberculosis. We selected 29 articles involving a collective total of 219 patients. The largest samples were in studies conducted in Brazil and South Korea (78 and 35 patients, respectively). The imaging findings were subdivided into five common patterns. The imaging findings varied depending on the transplanted organ in these patients. In liver and lung transplant recipients, the most common pattern was the classic one for pulmonary tuberculosis (cavitation and “tree-in-bud” nodules), which is similar to the findings for pulmonary tuberculosis in the general population. The proportion of cases showing a miliary pattern and lymph node enlargement, which is most similar to the pattern seen in patients coinfected with tuberculosis and HIV, was highest among the kidney transplant recipients. Further studies evaluating clinical data, such as immunosuppression regimens, are needed in order to improve understanding of the distribution of these imaging patterns in this population.

scholarly journals 37 Prognostic role of the lung ultrasound in the acute coronary syndrome

2021 ◽  
Vol 23 (Supplement_G) ◽  
Author(s):  
Lucia Tricarico ◽  
Paola Persichella ◽  
Pietro Mazzeo ◽  
Alessandra Leopizzi ◽  
Adriana Mallardi ◽  
...  
Keyword(s):  
Physical Examination ◽  
Oxygen Therapy ◽  
Lung Ultrasound ◽  
Hospital Death ◽  
Acute Pulmonary Oedema ◽  
Prognostic Role ◽  
X Ray ◽  
Coronary Syndrome ◽  
Non Invasive ◽  
Chest X Ray

Abstract Aim Acute coronary syndromes (ACS) represent one of the major causes of mortality in our country. Lung ultrasound is an important diagnostic tool in the assessment of lung and pleural diseases; it is easy to perform and provides low-cost analysis and it is also easily learned with a few hours of training. To evaluate the usefulness of lung ultrasound in the early diagnosis of pulmonary congestion in patients admitted to ICU for ACS and to evaluate its possible prognostic role in the short and long term. Methods Forty-three patients with ACS admitted in the ICU of Foggia were enrolled in the study between April 2020 and July 2020 (mean age 64.7 ± 12.7 years, male: 67.4%). Medical history, physical examination, ECG, blood analysis, chest X-ray, lung ultrasound and echocardiography were collected at the admission in ICU, after 24 h and at the dismission. All patients were re-evaluated, through a telephone follow-up 3 months after discharge. The primary endpoints were re-hospitalization at 30 days and the following MACEs: development of acute pulmonary oedema during hospitalization, cardiogenic shock, death and the need for oxygen therapy or the use of non-invasive ventilation. The secondary endpoints were out-of-hospital death from cardiac causes and re-hospitalization after 3 months. Results The analysis of the ROC curves showed that pulmonary ultrasound performed on admission in the ICU predicted more than the thoracic physical examination [AUC 0.536 (0.367–0.699); P = 0.111], chest radiograph (AUC 0.561 (0.391–0.721); P = 0.109] and LVEF [AUC 0.525 (0.357–0.689); P = 0.119], the risk of adverse cardiovascular events hospital, although not reaching the cut-off for statistical significance [AUC 0.661 (0.489–0.806); P = 0.0895]. Among all in-hospital events, pulmonary ultrasound predicted higher sensitivity and specificity [AUC 0.665 (0.493–0.809); P = 0.0927] than chest radiography [AUC 0.588 (0.417–0.745); P = 0.113], clinical examination [AUC 0.550 (0.380–0.711); P = 0.116] and LVEF [AUC 0.515 (0.348–0.680); P = 0.125], the use of oxygen therapy and NIV during hospitalization stay. Conclusions In patients with ACS, on admission lung ultrasound predicts the risk of in-hospital events, particularly the use of oxygen therapy or non-invasive mechanical ventilation more than physical examination, chest X-ray and LVEF estimated by echocardiography. It can be considered a complementary method to echocardiography in the evaluation of cardiac function, allowing to estimate the amount of extra-vascular lung water.

scholarly journals Lung Ultrasound vs. Chest X-ray for the Radiographic Diagnosis of COVID-19 Pneumonia in a High Prevalence Population

2021 ◽  
Author(s):  
Ryan C. Gibbons ◽  
Mark Magee ◽  
Harry Goett ◽  
James Murrett ◽  
Jessica Genninger ◽  
...  
Keyword(s):  
Lung Ultrasound ◽  
Radiographic Diagnosis ◽  
X Ray ◽  
High Prevalence ◽  
Chest X Ray
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