الفهرس | Only 14 pages are availabe for public view |
Abstract The present study was conducted in Chest Department, Menoufia University Hospital during the period between August 2020 to December 2021. It included 40 patients who fulfilled the selection criteria & formed the study population. Aim of the current study was to assess Role of chest ultrasound in Patients with peripheral thoracic lesions. The patients were subjected basically to full history taking, full clinical examination, chest x-ray and CT chest. All patients were examined by transthoracic ultrasonography. In cases of pleural effusion, the pleural fluid was aspirated and sent for chemical, bacteriological and cytological examination to study the relationship between the sonographic findings and the nature of pleural fluid. Also sonar guided biopsy was done in indicated patients. CT guided biopsy, bronchoscopic and thoracoscopic biopsies were also done whenever indicated. In the current study the total number of diagnosed cases was 38 patients out of 40 patients who represent the study population. 11 cases out of the 38 patients of the study population were diagnosed by US guided biopsy, 16 cases were diagnosed by US guided aspiration and 2 cases were diagnosed by US guided biopsy and aspiration. One case was diagnosed by CT guided biopsy because the result of US guided biopsy was non-specific. Bronchoscopic biopsy was done in 2 patients who had central mass. Another 5 cases were diagnosed by thoracoscopic biopsies because trials of US guided biopsy was failed. Summary and Conclusion 88 In the present study, examination of the lung showed that normal lung was detected in 4 patients with percent 10, collapsed lung was detected in 19 patients with percent 47.5, lung consolidation was detected in 5 patients with percent 12.5, lung mass was detected in 10 patients with percent 25, lung nodule was detected in 1 patient with percent 2.5 and lung abscess in 1 patient with percent 2.5. examination of the pleura showed that normal pleura was detected in 17 patients with percent 42.5, diffuse thickening was detected in 13 patients with percent 32.5, nodular thickening in 8 patients with percent 20, pleural mass was detected in 2 patients with percent 5 while pleura effusion was detected in 33 patients with percent 82.5 in which pleural effusion was echogenic in 26 patients with percent 65, hypoechoic in 2 patients with percent 5 and anechoic in 5 patients with percent 12.5. In the present study, pleura effusion was chemically analysied in 22 patients of the study population. By chemical analysis of the pleural fluid, 17 of them were found to have exudative pleural effusion and 5 of them were found to have transudative pleural effusion. In this study,total number of studied patients was 40 patient. 38 patients were diagnosed (95%), and 2 patients (5%) were not diagnosed due to death or discharge before final diagnosis. In the present study, 15 cases were diagnosed as bronchogenic carcinoma, 8 cases were diagnosed as pneumonia and parapneumonic effusion, 6 cases were diagnosed as mesothelioma, 1 case was diagnosed as lung abscess, 1 case was diagnosed lymphoma, 4 cases were diagnosed as hepatic hydrothorax, one case was diagnosed as empyema, one case was diagnosed as epithelial type neoplasm infiltrating pleura. Summary and Conclusion 89 In this study, Transthoracic ultrasound has Sensitivity and Specificity 83%, 67% respectively. Transthoracic ultrasound shows 97% Predictive value of +ve result and 25% Predictive value of -ve result. So it is good positive test but not good negative one. |