EDITORIALS
Pleural ultrasound
Correspondence to:
Dr D Feller-Kopman, Interventional Pulmonology, Johns Hopkins Hospital, 1830 East Monument St, Fifth Floor, Baltimore, MD 21205, USA; dfellerk@jhmi.edu
| The first 150 words of the full text of this article appear below. |
The use of hand-held portable ultrasound (US) has probably had more of an impact in the care of patients with pleural effusions than any other development since Light introduced a method for distinguishing transudative from exudative effusions in 1972.1 The advantages of US for the evaluation of pleural effusions include the ability to provide real-time guidance for procedures, the absence of radiation, portability and the ability to perform dynamic evaluations. US is more sensitive than chest radiography for the detection of pleural fluid and may be better than chest CT scanning for differentiating pleural effusion from pleural thickening. The use of US has also been associated with a reduction in "near misses" as well as an increased yield, even in experienced hands.2 Because of these benefits, the use of US by non-radiologists has increased tremendously over the last few years. The American Board of Internal Medicine "strongly recommends" obtaining proficiency
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