Article Text

other Versions

PDF
The accuracy of pleural ultrasonography in diagnosing complicated parapneumonic pleural effusions
  1. Philip Z Svigals1,
  2. Amit Chopra2,
  3. James G Ravenel3,
  4. Paul J Nietert4,
  5. John T Huggins1
  1. 1Division of Pulmonary, Critical Care, and Sleep Medicine, Medical University of South Carolina, Charleston, South Carolina, USA
  2. 2Division of Pulmonary and Critical Care Medicine, Albany Medical Center, Albany, New York, USA
  3. 3Division of Radiology and Radiological Science, Medical University of South Carolina, Charleston, South Carolina, USA
  4. 4Department of Public Health Sciences, Medical University of South Carolina, Charleston, South Carolina, USA
  1. Correspondence to Dr Philip Z Svigals, Division of Pulmonary, Critical Care, and Sleep Medicine, Medical University of South Carolina, Charleston, SC 29425-2503, USA; zachsvigals{at}gmail.com

Abstract

We compared the accuracy of pleural ultrasound versus chest CT versus chest radiograph (CXR) to determine radiographic complexity in predicting a complicated parapneumonic effusion (CPPE) defined by pleural fluid analysis. 66 patients with parapneumonic effusions were identified with complete data. Pleural ultrasound had a sensitivity of 69.2% (95% CI 48.2% to 85.7%) and specificity of 90.0% (95% CI 76.3% to 97.2%). Chest CT had a sensitivity of 76.9% (95% CI 56.3% to 91.0%) and specificity of 65.0% (95% CI 48.3% to 79.4%). CXR had a sensitivity of 61.5% (95% CI 40.6% to 79.8%) and specificity of 60.0% (95% CI 43.3% to 75.1%). Pleural ultrasound appears to be a superior modality to rule in a CPPE when compared with chest CT and CXR.

  • Pleural Disease
  • Imaging/CT MRI etc
  • Pneumonia

Statistics from Altmetric.com

Request permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

Linked Articles

  • Airwaves
    The Triumvirate