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Pulmonary Paramediastinal Mass-like Consolidation: Differentiation of pneumonic consolidation from lymphoma with Transthoracic Doppler Ultrasonography

Year 2010, Volume: 15 Issue: 1, 48 - 50, 01.02.2010

Abstract

Although there are lots of paramediastinal mass lesions which resemble each other, it is possible to narrow the differential diagnosis by clinical-labratory and radiologic correlation. With this unique case (5 years old girl), which seems like having left upper paramediastinal solid mass lesion but having no spesicific clinical-labratory sceneraio, we tried to differentiate pneumonic consolidation and (lymphomatous) tumoral mass by transthoracic conventional gray scale ultrasonography (US) and colour Doppler ultrasonography (CDUS) examinations. With the transthoracic high resolution US; air filled thinner bronchi also may be determined easily which is impossible to reveal at direct graphy or even at conventional CT sections. Also it is possible to conceive the normal pulmonary vasculary distrubiton through the pneumonic consolidation areas as a distinguishing sign between infiltrative consolidation and lymphoma or other consolidated mass lesions.

References

  • 1. Gorg C, Bert T. Transcutaneous colour Doppler sonography of lung consolidations: review and pictorial essay. Part 2: colour Doppler sonographic patterns of pulmonary consolidations. Ultraschall Med. 2004 25:285-291.
  • 2. Murray JG, Breatnach E. Imaging of the mediastinum and hila. Curr Opin Radiol. 1992; 4:44-52.
  • 3. Kjeldsberg KM, Oh K, Murray KA, Cannon G. Radiographic approach to multifocal consolidation. Semin Ultrasound CT MR 2002: 288-301.
  • 4. Jung JI, Kim H, Park SH, Kim HH at all. CT differentiation of pneumonic-type bronchioloalveolar cell carcinoma and infectious pneumonia. Br J Radiol.. 2001 Jun;74:490-494.
  • 5. Mathis G. Thoraxsonography--Part II: Peripheral pulmonary consolidation. Ultrasound Med Biol. 1997; 23:1141-1153.
  • 6. Yu CJ, Yang PC, Chang DB, Luh KT. Diagnostic and therapeutic use of chest sonography: value in critically ill patients. AJR Am J Roentgenol. 1992;159:695-701.
  • 7. Wernecke K, Diederich S. Sonographic features of mediastinal tumors. AJR Am J Roentgenol. 1994;163:1357-1364.
  • 8. Wernecke K, Vassallo P, Pötter R, Lückener HG, Peters PE. Mediastinal tumors: sensitivity of detection with sonography compared with CT and radiography. Radiology 1990;175:137- 143.
  • 9. Lam S, Becker HD. Future diagnostic procedures. Chest Surg Clin N Am. 1996:363-380.
  • 10. Hsu WH, Chiang CD, Hsu JY, Huang WL. Detection of mass lesions in the collapsed lung by ultrasonography. J Formos Med Assoc. 1992 Jan;91(1):57-62 1992;91:57-62.
  • 11. Gehmacher O, Mathis G, Kopf A, Scheier M. Ultrasound imaging of pneumonia. Ultrasound Med Biol. 1995 21:1119- 1122.
  • 12. Targhetta R, Chavagneux R, Bourgeois JM at all. Sonographic approach to diagnosing pulmonary consolidation. J Ultrasound Med. 1992;11:667-672.
  • 13. Yang PC, Chang DB, Yu CJ at all. Ultrasound guided percutaneous cutting biopsy for the diagnosis of pulmonary consolidations of unknown aetiology. Thorax. 1992 Jun;47:457-460.

Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi ile Lenfoma ve Pnömonik Konsolidasyon Ayırımı

Year 2010, Volume: 15 Issue: 1, 48 - 50, 01.02.2010

Abstract

Birbirine benzer görünümler yaratan bir çok paramediastinal lezyon sözkonusu olsa da klinik ve radyolojik korelasyon ile tanı spektrumu daraltılabilir. Bu özel olgu (5 yaşında kız çocuk) ile, sol üst paramediastinal kitle öntanısı ile başvuran, ancak tanısal klinik veya laboratuar bulguları bulunmayan bir pediatrik hastada, transtorasik gri skala ultrasonografi (US) ve renkli Doppler ultrasonografi (RDUS) inceleme ile tümöral (lenfoma) kitle ile pnömonik konsolidasyon ayırımı yapılabileceğini kanıtlamayı amaçladık. Transtorasik US/RDUS inceleme ile, lümeninde hava bulunan ince bronşial yapılar; direkt grafi veya kontrastsız BT'de izlenemeyecek kadar belirsiz olduğu aşamada dahi kolaylıkla tespit edilebilir. Ayrıca pulmoner vasküler dağılım da takip edilerek, konsolide bir alanın; pnömonik infiltratif konsolidasyon ya da lenfoma, akciğer kitlesi gibi kitlesel lezyonlar nedeni ile meydana geldiği ayırt edilebilir.

References

  • 1. Gorg C, Bert T. Transcutaneous colour Doppler sonography of lung consolidations: review and pictorial essay. Part 2: colour Doppler sonographic patterns of pulmonary consolidations. Ultraschall Med. 2004 25:285-291.
  • 2. Murray JG, Breatnach E. Imaging of the mediastinum and hila. Curr Opin Radiol. 1992; 4:44-52.
  • 3. Kjeldsberg KM, Oh K, Murray KA, Cannon G. Radiographic approach to multifocal consolidation. Semin Ultrasound CT MR 2002: 288-301.
  • 4. Jung JI, Kim H, Park SH, Kim HH at all. CT differentiation of pneumonic-type bronchioloalveolar cell carcinoma and infectious pneumonia. Br J Radiol.. 2001 Jun;74:490-494.
  • 5. Mathis G. Thoraxsonography--Part II: Peripheral pulmonary consolidation. Ultrasound Med Biol. 1997; 23:1141-1153.
  • 6. Yu CJ, Yang PC, Chang DB, Luh KT. Diagnostic and therapeutic use of chest sonography: value in critically ill patients. AJR Am J Roentgenol. 1992;159:695-701.
  • 7. Wernecke K, Diederich S. Sonographic features of mediastinal tumors. AJR Am J Roentgenol. 1994;163:1357-1364.
  • 8. Wernecke K, Vassallo P, Pötter R, Lückener HG, Peters PE. Mediastinal tumors: sensitivity of detection with sonography compared with CT and radiography. Radiology 1990;175:137- 143.
  • 9. Lam S, Becker HD. Future diagnostic procedures. Chest Surg Clin N Am. 1996:363-380.
  • 10. Hsu WH, Chiang CD, Hsu JY, Huang WL. Detection of mass lesions in the collapsed lung by ultrasonography. J Formos Med Assoc. 1992 Jan;91(1):57-62 1992;91:57-62.
  • 11. Gehmacher O, Mathis G, Kopf A, Scheier M. Ultrasound imaging of pneumonia. Ultrasound Med Biol. 1995 21:1119- 1122.
  • 12. Targhetta R, Chavagneux R, Bourgeois JM at all. Sonographic approach to diagnosing pulmonary consolidation. J Ultrasound Med. 1992;11:667-672.
  • 13. Yang PC, Chang DB, Yu CJ at all. Ultrasound guided percutaneous cutting biopsy for the diagnosis of pulmonary consolidations of unknown aetiology. Thorax. 1992 Jun;47:457-460.
There are 13 citations in total.

Details

Primary Language Turkish
Journal Section Articles
Authors

Düzgün Yıldırım This is me

Murat Eroğlu This is me

Publication Date February 1, 2010
Published in Issue Year 2010 Volume: 15 Issue: 1

Cite

APA Yıldırım, D., & Eroğlu, M. (2010). Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi ile Lenfoma ve Pnömonik Konsolidasyon Ayırımı. Fırat Tıp Dergisi, 15(1), 48-50.
AMA Yıldırım D, Eroğlu M. Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi ile Lenfoma ve Pnömonik Konsolidasyon Ayırımı. Fırat Tıp Dergisi. February 2010;15(1):48-50.
Chicago Yıldırım, Düzgün, and Murat Eroğlu. “Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi Ile Lenfoma Ve Pnömonik Konsolidasyon Ayırımı”. Fırat Tıp Dergisi 15, no. 1 (February 2010): 48-50.
EndNote Yıldırım D, Eroğlu M (February 1, 2010) Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi ile Lenfoma ve Pnömonik Konsolidasyon Ayırımı. Fırat Tıp Dergisi 15 1 48–50.
IEEE D. Yıldırım and M. Eroğlu, “Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi ile Lenfoma ve Pnömonik Konsolidasyon Ayırımı”, Fırat Tıp Dergisi, vol. 15, no. 1, pp. 48–50, 2010.
ISNAD Yıldırım, Düzgün - Eroğlu, Murat. “Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi Ile Lenfoma Ve Pnömonik Konsolidasyon Ayırımı”. Fırat Tıp Dergisi 15/1 (February 2010), 48-50.
JAMA Yıldırım D, Eroğlu M. Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi ile Lenfoma ve Pnömonik Konsolidasyon Ayırımı. Fırat Tıp Dergisi. 2010;15:48–50.
MLA Yıldırım, Düzgün and Murat Eroğlu. “Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi Ile Lenfoma Ve Pnömonik Konsolidasyon Ayırımı”. Fırat Tıp Dergisi, vol. 15, no. 1, 2010, pp. 48-50.
Vancouver Yıldırım D, Eroğlu M. Paramediastinal Kitlesel Konsolidasyon: Transtorasik Doppler Ultrasonografi ile Lenfoma ve Pnömonik Konsolidasyon Ayırımı. Fırat Tıp Dergisi. 2010;15(1):48-50.