The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay

The diagnostic capabilities of ultrasound extend far beyond the evaluation of the pleural space and lungs. Sonographic evaluation of the chest wall is a classic extension of the clinical examination of visible, palpable, or dolent findings. Unclear mass lesions of the chest wall can be differentiate...

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Main Authors: Ehsan Safai Zadeh, Christian Görg, Helmut Prosch, Rudolf Horn, Christian Jenssen, Christoph Frank Dietrich
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/4/767
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author Ehsan Safai Zadeh
Christian Görg
Helmut Prosch
Rudolf Horn
Christian Jenssen
Christoph Frank Dietrich
author_facet Ehsan Safai Zadeh
Christian Görg
Helmut Prosch
Rudolf Horn
Christian Jenssen
Christoph Frank Dietrich
author_sort Ehsan Safai Zadeh
collection DOAJ
description The diagnostic capabilities of ultrasound extend far beyond the evaluation of the pleural space and lungs. Sonographic evaluation of the chest wall is a classic extension of the clinical examination of visible, palpable, or dolent findings. Unclear mass lesions of the chest wall can be differentiated accurately and with low risk by additional techniques such as color Doppler imaging, contrast-enhanced ultrasound, and, in particular, ultrasound-guided biopsy. For imaging of mediastinal pathologies, ultrasound has only a complementary function but is valuable for guidance of percutaneous biopsies of malignant masses. In emergency medicine, ultrasound can verify and support correct positioning of endotracheal tubes. Diaphragmatic ultrasound benefits from the real-time nature of sonographic imaging and is becoming increasingly important for the assessment of diaphragmatic function in long-term ventilated patients. The clinical role of thoracic ultrasound is reviewed in a combination of narrative review and pictorial essay.
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spelling doaj.art-920b2f21d40b462f8d3d24d40588196a2023-11-16T20:02:41ZengMDPI AGDiagnostics2075-44182023-02-0113476710.3390/diagnostics13040767The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial EssayEhsan Safai Zadeh0Christian Görg1Helmut Prosch2Rudolf Horn3Christian Jenssen4Christoph Frank Dietrich5Gastroenterology, Endocrinology, Metabolism and Clinical Infectiology, Interdisciplinary Center of Ultrasound Diagnostics, University Hospital Giessen and Marburg, Philipps University Marburg, Baldingerstraße, 35033 Marburg, GermanyGastroenterology, Endocrinology, Metabolism and Clinical Infectiology, Interdisciplinary Center of Ultrasound Diagnostics, University Hospital Giessen and Marburg, Philipps University Marburg, Baldingerstraße, 35033 Marburg, GermanyDepartment of Biomedical Imaging and Image-Guided Therapy, Medical University of Vienna, Vienna General Hospital, 1090 Vienna, AustriaCenter da Sandà Val Müstair, 7536 Sta. Maria, SwitzerlandMedical Department, Krankenhaus Maerkisch-Oderland, 15344 Strausberg, GermanyDepartment Allgemeine Innere Medizin (DAIM), Kliniken Hirslanden Bern, Beau Site, Salem und Permanence, 3018 Bern, SwitzerlandThe diagnostic capabilities of ultrasound extend far beyond the evaluation of the pleural space and lungs. Sonographic evaluation of the chest wall is a classic extension of the clinical examination of visible, palpable, or dolent findings. Unclear mass lesions of the chest wall can be differentiated accurately and with low risk by additional techniques such as color Doppler imaging, contrast-enhanced ultrasound, and, in particular, ultrasound-guided biopsy. For imaging of mediastinal pathologies, ultrasound has only a complementary function but is valuable for guidance of percutaneous biopsies of malignant masses. In emergency medicine, ultrasound can verify and support correct positioning of endotracheal tubes. Diaphragmatic ultrasound benefits from the real-time nature of sonographic imaging and is becoming increasingly important for the assessment of diaphragmatic function in long-term ventilated patients. The clinical role of thoracic ultrasound is reviewed in a combination of narrative review and pictorial essay.https://www.mdpi.com/2075-4418/13/4/767ultrasoundultrasound-guided biopsychest walldiaphragmmediastinumcancer
spellingShingle Ehsan Safai Zadeh
Christian Görg
Helmut Prosch
Rudolf Horn
Christian Jenssen
Christoph Frank Dietrich
The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay
Diagnostics
ultrasound
ultrasound-guided biopsy
chest wall
diaphragm
mediastinum
cancer
title The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay
title_full The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay
title_fullStr The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay
title_full_unstemmed The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay
title_short The Role of Thoracic Ultrasound for Diagnosis of Diseases of the Chest Wall, the Mediastinum, and the Diaphragm—Narrative Review and Pictorial Essay
title_sort role of thoracic ultrasound for diagnosis of diseases of the chest wall the mediastinum and the diaphragm narrative review and pictorial essay
topic ultrasound
ultrasound-guided biopsy
chest wall
diaphragm
mediastinum
cancer
url https://www.mdpi.com/2075-4418/13/4/767
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