Online citations, reference lists, and bibliographies.
← Back to Search

Radiology In Pleural Disease: State Of The Art

A. L. Evans, F. Gleeson
Published 2004 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
Abstract:  Diseases of the pleura and pleural space are common and present a significant contribution to the workload of the chest radiologist. The radiology department plays a crucial role in the imaging and management of pleural disease. This review aims to describe and illustrate the appearances of common pleural pathologies on various radiological modalities including plain film, ultrasound, CT, magnetic resonance imaging and positron emission tomography. The review will also address the state‐of‐the‐art techniques used to image pleural disease and discuss image‐guided intervention in the management of pleural disease.
This paper references
Computed tomography in the evaluation of benign asbestos-related disorders.
Staples Ca (1992)
10.2214/AJR.154.3.2106209
CT in differential diagnosis of diffuse pleural disease.
A. Leung (1990)
Malignant mesothelioma of the pleura.
K. Sirola (1959)
10.1378/CHEST.106.4.1215
Talc pleurodesis for the treatment of pneumothorax and pleural effusion.
L. Kennedy (1994)
10.5144/0256-4947.1999.179a
Spiral CT: Principles, techniques and clinical applications.
S. Hussain (1999)
10.1016/S0140-6736(03)13881-0
CT-guided biopsy for diagnosis of malignant disease in pleural effusions
G. Perkins (2003)
Reducing morbidity
J Hyde (2003)
Computed tomography used to exclude pneumothorax in bullous lung disease.
P. Bourgouin (1985)
10.1067/MTC.2000.106529
Positron emission tomography with f18-fluorodeoxyglucose in the staging and preoperative evaluation of malignant pleural mesothelioma.
D. Schneider (2000)
10.1016/S0272-5231(05)70076-9
CT and MR in pleural disease.
T. Mcloud (1998)
10.2214/AJR.144.1.9
Diffuse pleural thickening in an asbestos-exposed population: prevalence and causes.
T. Mcloud (1985)
10.1097/00004728-199003000-00006
MR imaging of pleural effusions.
S. Davis (1990)
10.1378/CHEST.108.5.1345
Clinical Investigations in Critical CareA Bedside Ultrasound Sign Ruling Out Pneumothorax in the Critically III: Lung Sliding
Daniel Lichtenstein (1995)
10.1378/CHEST.67.2.176
A new radiologic sign of subpulmonic effusion.
M. Schwarz (1975)
10.1016/S1010-7940(00)00377-8
18-FDG positron emission tomography in the evaluation of malignant pleural diseases - a pilot study.
A. Carretta (2000)
10.1148/RADIOLOGY.186.2.8421723
Imaging of the pleura.
N. Müller (1993)
MR imaging of the pleura and chest wall.
B. L. Knisely (2000)
[High-resolution CT of the lung].
J. Verschakelen (1991)
10.1007/s003300050317
Radiology in the management of pleural disease
M. Patel (1997)
10.2214/AJR.164.3.7863875
Interventional radiology of the chest: image-guided percutaneous drainage of pleural effusions, lung abscess, and pneumothorax.
J. Klein (1995)
10.1148/RADIOGRAPHICS.12.6.1439021
Imaging manifestations of pleural tumors.
M. Dynes (1992)
10.1148/84.6.1080
THE EFFECT OF PLEURAL FLUID ON THE DIAPHRAGM.
R. Mulvey (1965)
10.1097/00004728-199011000-00020
The "notch" sign: meniscal contour deformities as indicators of tear in MR imaging of the knee.
Stephen J. Davis (1990)
10.2214/AJR.177.6.1771436
High-Resolution CT of the Lung, 3rd ed.
G. Aughenbaugh (2001)
10.1378/CHEST.100.5.1328
Ultrasound-guided pleural biopsy with Tru-Cut needle.
D. Chang (1991)
10.1016/S0037-198X(77)80012-6
Pleural tumors and pulmonary tumors: differential diagnosis.
E. Theros (1977)
10.2214/AJR.168.4.9124116
Sonographic features of pleural disease.
K. Wernecke (1997)
10.1097/00004728-198705000-00013
Bolus contrast medium enhancement for distinguishing pleural from parenchymal lung disease: CT features.
E. Bressler (1987)
10.1097/00005382-198707000-00008
Computed tomography in blunt chest trauma
I. Tocino (1987)
10.1053/CRAD.1999.0480
Computed tomography and ultrasound in parapneumonic effusions and empyema.
S. Kearney (2000)
Robertson RJ. Primary malignant localized fibrous tumours of the pleura: clinical, radiological and pathological features
A Saifuddin (1992)
Prognostic value of FDG PET imaging in malignant pleural mesothelioma.
F. Bénard (1999)
High-Resolution CT of the Lung, 3rd edn
WR Webb (2001)
10.1016/S0009-9260(05)81459-X
Primary malignant localized fibrous tumours of the pleura: clinical, radiological and pathological features.
A. Saifuddin (1992)
10.1148/RADIOGRAPHICS.9.3.2727359
Conventional and high resolution computed tomography in the diagnosis of asbestos-related diseases.
D. Lynch (1989)
10.1164/ARRD.1963.88.2.176
DIAGNOSTIC SIGNIFICANCE OF THE MEDIASTINAL PROFILE IN MASSIVE UNILATERAL PLEURAL EFFUSIONS.
M. Liberson (1963)
10.1164/ARRD.1986.133.6.1124
Value of chest ultrasonography versus decubitus roentgenography for thoracentesis.
J. M. Kohan (1986)
10.1259/BJR.72.864.10703472
Pneumothorax post CT-guided lung biopsy: a comparison between detection on chest radiographs and CT.
H. Bungay (1999)
Evaluation of patients with known mesothelioma with 18Ffluorodeoxyglucose and PET. Comparison with computed tomography
J Zubeldia (2000)
10.1097/00005382-198710000-00010
Visceral pleural thickening in asbestos exposure: The occurrence and implications of thickened interlobar fissures
S. Rockoff (1987)
10.1097/00004728-198907000-00011
MR Imaging of Malignant Pleural Mesothelioma
J. Lorigan (1989)
10.1148/RADIOLOGY.183.1.1549671
Plain and computed radiography for detecting experimentally induced pneumothorax in cadavers: implications for detection in patients.
J. J. Carr (1992)
tubes
GW Parry (1988)
10.1016/S0022-5223(03)00207-1
Positron emission tomography defines metastatic disease but not locoregional disease in patients with malignant pleural mesothelioma.
R. Flores (2003)
10.1007/s00330-003-1995-4
Diffusion-weighted MR imaging of pleural fluid: differentiation of transudative vs exudative pleural effusions
T. Baysal (2003)
Computed tomography in the evaluation of benign asbestos-related disorders.
C. Staples (1992)
10.1148/RADIOLOGY.171.1.2928515
Costal pleura: appearances at high-resolution CT.
J. Im (1989)
10.7863/jum.1995.14.10.767
“Fluid color” sign: a useful indicator for discrimination between pleural thickening and pleural effusion.
R. G. Wu (1995)
10.2214/AJR.155.5.2120965
Malignant pleural mesothelioma: CT manifestations in 50 cases.
A. Kawashima (1990)
10.1148/RG.241035058
Malignant pleural mesothelioma: evaluation with CT, MR imaging, and PET.
Z. Wang (2004)
Positron emission tomography with 18F-fluorodeoxyglucose in the staging and preoperative evaluation of malignant pleural mesothelioma
DB Schneider (2000)
10.1097/00004728-199505000-00006
CT‐Guided Pleural Needle Biopsy in the Diagnosis of Malignant Mesothelioma
M. Metintas (1995)
10.1097/00005382-198901000-00011
Pleural effusions: Pathogenesis, radiologic evaluation, and therapy
C. Henschke (1989)
Talc pleurodesis for the treatment
(1996)
10.1007/s002619900196
Percutaneous needle biopsy
C. Reading (1997)
10.1148/RADIOLOGY.220.1.R01JL27237
Functional consequences of pleural disease evaluated with chest radiography and CT.
S. J. Copley (2001)
Assessment of malignant pleural mesothelioma with (18)F-FDG dual-head gamma-camera coincidence imaging: comparison with histopathology.
V. Gerbaudo (2002)
10.1097/00005382-199804000-00003
Percutaneous Drainage of Pleural Collections
E. Patz (1998)
Evaluation of pleural and pericardial effusions by magnetic resonance imaging.
D. Tscholakoff (1987)
10.2214/AJR.156.5.2017951
Factors affecting the development of pneumothorax associated with thoracentesis.
V. Raptopoulos (1991)
10.1016/0363-0188(91)90021-S
Pleural diseases: multimodality imaging and clinical management.
C. Henschke (1991)
10.1097/00004424-199002000-00023
Cases from A3CR2. Migratory chest mass.
M. Soulen (1990)
10.1016/S0033-8389(05)70164-0
Percutaneous needle biopsy of the pleura.
N. Screaton (2000)
10.1148/RADIOLOGY.175.1.2315473
Parietal pleural changes in empyema: appearances at CT.
R. J. Waite (1990)
10.1378/CHEST.108.5.1345
A bedside ultrasound sign ruling out pneumothorax in the critically ill. Lung sliding.
D. Lichtenstein (1995)
10.1148/RADIOLOGY.169.3.3187016
The use of CT in the examination of asbestos-exposed persons.
T. Mcloud (1988)
10.1097/01.rlu.0000089522.86184.49
Talc Pleurodesis Mimics Pleural Metastases: Differentiation With Positron Emission Tomography/Computed Tomography
N. Weiss (2003)
10.1016/0899-7071(91)90156-P
Localized fibrous pleural mesothelioma: CT findings.
D. Mendelson (1991)
10.1097/00003072-200006000-00028
Discrepancy between Ga-67 citrate and F-18 fluorodeoxyglucose positron emission tomographic scans in pulmonary infection.
Gaurav K. Goswami (2000)
10.1136/bmj.314.7085.914
Reducing morbidity from chest drains
J. Hyde (1997)
10.1016/S0954-6111(98)90315-8
Treatment of malignant pleural effusion: pleurodesis using a small percutaneous catheter. A prospective randomized study.
P. Clementsen (1998)
10.1378/CHEST.84.3.283
Ultrasound in the assessment of pleural densities.
E. Rosenberg (1983)
10.1002/JCU.10141
Chest sonography versus lateral decubitus radiography in the diagnosis of small pleural effusions
I. Kocijancic (2003)
Cases from A3CR2
MC Soulen (1990)
10.1053/CRAD.2000.0446
Chest drains: does size matter?
D. J. Tattersall (2000)
10.1378/CHEST.125.2.489
Evaluation of pleural disease with 18-fluorodeoxyglucose positron emission tomography imaging.
B. Duysinx (2004)
Radiographic and computed tomography (CT) imaging of complex pleural disease.
Knisely Bl (1997)
10.1148/RADIOLOGY.173.3.2813774
Pneumothorax: appearance on lateral chest radiographs.
H. Glazer (1989)
10.2214/AJR.166.4.8610582
Usefulness of MR signal intensity in distinguishing benign from malignant pleural disease.
F. Falaschi (1996)
10.1016/S0140-6736(03)13079-6
Standard pleural biopsy versus CT-guided cutting-needle biopsy for diagnosis of malignant disease in pleural effusions: a randomised controlled trial
N. Maskell (2003)
Screening for asbestos related pleurop - ulmonary disorders with low dose multislice spiral CT
I Mastora
10.1002/1097-0142(19930715)72:2<389::AID-CNCR2820720213>3.0.CO;2-V
Thoracoscopy in pleural malignant mesothelioma: A prospective study of 188 consecutive patients. Part 1: Diagnosis
C. Boutin (1993)
10.1146/annurev.me.09.020158.002035
Diagnostic radiology.
F. J. Hodges (1958)
10.1148/RADIOL.2282020524
The deep sulcus sign.
A. Kong (2003)
10.1378/CHEST.99.1.191
New developments in asbestos-induced pleural disease.
D. Schwartz (1991)
10.1016/S0009-9260(99)91175-3
Ultrasound detection of pneumothorax.
T. R. Goodman (1999)
10.1148/RADIOGRAPHICS.22.1.G02JAE1E1
Transthoracic US of the chest: clinical uses and applications.
D. Koh (2002)
10.1164/AJRCCM/141.2.321
Asbestos-induced pleural fibrosis and impaired lung function.
D. Schwartz (1990)
10.1259/0007-1285-66-787-619
The sonographic appearances of pleural fluid.
D. Lomas (1993)
10.1183/09031936.96.09030406
Expiratory chest radiographs do not improve visibility of small apical pneumothoraces by enhanced contrast.
F. Schramel (1996)
10.1097/00005382-199107000-00009
Pleural infections: a clinical-radiologic review.
J. W. Hanna (1991)
10.1378/CHEST.94.1.55
Treatment of pneumothoraces utilizing small caliber chest tubes.
D. Conces (1988)
10.1016/S1095-0397(00)00077-7
11. Evaluation of Patients with Known Mesothelioma with 18F-Fluorodeoxyglucose and PET. Comparison with Computed Tomography.
Zubeldia (2000)
10.2214/AJR.175.1.1750245
FDG PET of pleural effusions in patients with non-small cell lung cancer.
J. Erasmus (2000)
Magnetic resonance imaging in distinguishing malignant from benign pleural disease.
L. Luo (2001)
Radiographic evaluation of asbestos-related chest disorders.
W. Gefter (1984)
10.1148/RADIOL.2251011102
Traumatic pneumothorax detection with thoracic US: correlation with chest radiography and CT--initial experience.
K. R. Rowan (2002)
10.1378/CHEST.118.3.604
MRI and CT in the differential diagnosis of pleural disease.
J. Hierholzer (2000)
10.1148/RADIOLOGY.219.2.R01MA07510
Percutaneous image-guided cutting-needle biopsy of the pleura in the presence of a suspected malignant effusion.
R. Adams (2001)
10.2214/AJR.144.5.901
Distribution of pneumothorax in the supine and semirecumbent critically ill adult.
I. Tocino (1985)
10.1097/00004728-200203000-00002
Solitary Fibrous Tumor of the Pleura: MR Appearance and Enhancement Pattern
U. Tateishi (2002)
10.1016/S0140-6736(95)90462-X
Continuing increase in mesothelioma mortality in Britain
J. Peto (1995)
10.2214/AJR.159.1.1609716
Value of sonography in determining the nature of pleural effusion: analysis of 320 cases.
P. C. Yang (1992)
10.1148/RADIOLOGY.194.3.7862993
Diffuse pleural thickening: percutaneous CT-guided cutting needle biopsy.
E. Scott (1995)
10.1378/CHEST.122.6.1918
Clinical role of F-18 fluorodeoxyglucose positron emission tomography imaging in patients with lung cancer and suspected malignant pleural effusion.
N. Gupta (2002)
Higgins CB. Evaluation of pleural and pericardial effusions by magnetic resonance imaging
D Tscholakoff (1987)
10.1378/CHEST.108.3.754
Prevention of malignant seeding after invasive diagnostic procedures in patients with pleural mesothelioma. A randomized trial of local radiotherapy.
C. Boutin (1995)
10.1136/THX.52.2.187
Evaluation of pleural diseases with FDG-PET imaging: preliminary report.
T. Bury (1997)
Management of haemothorax.
G. W. Parry (1996)
10.1148/RADIOGRAPHICS.16.3.8897628
From the archives of the AFIP. Malignant pleural mesothelioma: radiologic-pathologic correlation.
B. H. Miller (1996)
10.1016/S0002-9149(03)00911-1
Usefulness of magnetic resonance imaging of cardiac and paracardiac masses.
U. Hoffmann (2003)
10.1053/CRAD.2000.0573
Thoracic computed tomography in patients with suspected malignant pleural effusions.
Z. Traill (2001)
10.1148/RADIOGRAPHICS.22.SUPPL_1.G02OC10S167
Asbestos: when the dust settles an imaging review of asbestos-related disease.
H. Roach (2002)
10.2214/AJR.166.2.8553938
Detection and estimation of the volume of pneumothorax using real-time sonography: efficacy determined by receiver operating characteristic analysis.
C. Sistrom (1996)
10.1016/S1076-6332(05)80373-3
Pleural fluid volume estimation: a chest radiograph prediction rule.
C. Blackmore (1996)
10.2214/AJR.156.6.2028857
Imaging the pleura: sonography, CT, and MR imaging.
T. Mcloud (1991)
10.1136/bmj.315.7101.186a
Catheters smaller than 24 French gauge can be used for chest drains
P. M. Taylor (1997)
Magnetic resonance imaging of the chest.
W. Webb (1989)
10.1378/CHEST.123.2.418
Ultrasound-guided thoracentesis: is it a safer method?
P. W. Jones (2003)
10.1016/S0009-9260(99)90824-3
Malignant pleural mesothelioma: the spectrum of manifestations on CT in 70 cases.
C. Ng (1999)
10.1148/RADIOLOGY.183.3.1584903
Conventional chest radiographs: anatomic understanding of newer observations.
A. Proto (1992)
10.1148/109.1.33
Roentgen visualization of minute pleural effusion. An experimental study to determine the minimum amount of pleural fluid visible on a radiograph.
H. Moskowitz (1973)
10.1016/S1095-0397(98)00013-2
Serial Evaluation of Increased Chest Wall F-18 Fluorodeoxyglucose (FDG) Uptake Following Radiation Therapy in Patients With Bronchogenic Carcinoma.
V. Lowe (1998)
Radiographic and computed tomography (CT) imaging of complex pleural disease.
B. L. Knisely (1997)
10.3892/IJO.10.4.847
Nuclear medicine imaging in lung cancer.
G. Buccheri (1997)
10.1148/RADIOLOGY.146.2.6849106
Rapid, inexpensive real-time directed thoracentesis.
H. Harnsberger (1983)
10.2214/AJR.151.5.883
High-resolution CT of benign asbestos-related diseases: clinical and radiographic correlation.
D. Aberle (1988)
10.2214/AJR.144.2.275
Computed tomography of localized pleural mesothelioma.
C. Dedrick (1985)



This paper is referenced by
Pleurosubcutaneous fistula presenting as lateral thoracic lump in an oncologic patient.
E. Unlu (2006)
10.1097/CPM.0b013e318235181f
Asbestos-related Lung Disease: An Update
M. Schuhmann (2007)
10.2298/ACI0904063S
[Radiologic manifestation of primary pleural tumors].
R. Stevic (2009)
10.1378/chest.13-0376
Basis of estimating pleural effusion size on CT scan: reasonable grouping of volume percentage.
Yijie Hu (2013)
10.1201/B19146-44
Asbestos-related pleural diseases
Fraser J.H. Brims and A.W. Musk (2016)
10.1259/bjr.20180254
Early and delayed phases of contrast-enhanced CT for evaluating patients with malignant pleural effusion. Results of pairwise comparison by multiple observers.
J. Arenas-Jiménez (2018)
Comparación en el grado de realce, calidad de imagen y dosis de radiación en las exploraciones de tomografía computarizada combinada torácica y abdominal entre dos protocolos con retrasos de inicio de exploración diferentes en pacientes con cáncer de pulmón
E. Garrigos (2019)
8 Clinical Utility of Ultrasonographic Detection of Pleural Effusion for Evaluation of Heart Failure Patients
H. Kataoka (2017)
Paediatric empyema thoracis: Recommendations for management
Roxanne E Strachan (2011)
10.4081/MONALDI.2005.653
CT in differential diagnosis of benign and malignant pleural disease.
U. Yilmaz (2005)
10.1183/09031936.00128108
Diagnostic yield and safety of ultrasound-assisted biopsies in superior vena cava syndrome
C. F. Koegelenberg (2009)
10.1016/J.CCM.2005.12.005
The approach to the patient with a parapneumonic effusion.
N. Rahman (2006)
10.4274/cayd.25238
Efficiacy Comparison between Computed Tomography of the Thorax and Chest X-Rays in Diagnosing Thoracic Pathology in Pediatric Intensive Care Unit
Özlem Saraç Sandal (2016)
10.1016/S2173-5115(09)70127-7
Thoracic empyema - a review based on three cases reports.
A. Murinello (2009)
10.1016/J.CRAD.2005.05.015
Use of imaging in the management of malignant pleural mesothelioma.
R. Benamore (2005)
10.1007/978-1-4020-8442-3_14
Magnetic Resonance Imaging of the Lung: Automated Segmentation Methods
W. Sensakovic (2008)
10.1007/s00423-016-1498-9
Stage-directed therapy of pleural empyema
M. Reichert (2016)
10.1002/JCU.20155
Sonography of pleural space in healthy individuals
K. Kocijančič (2005)
10.1148/RG.271065105
Best cases from the AFIP: Malignant mesothelioma.
Sean M Tyszko (2007)
10.1007/s13139-019-00591-0
Ipsilateral Hyperhidrosis: Atypical Symptom of Small Lung Adenocarcinoma Evaluated by 18F-FDG PET-CT
Min Young Yoo (2019)
10.1111/j.1440-1843.2011.02049.x
Weakness of expiratory muscles and pulmonary complications in malnourished patients undergoing upper abdominal surgery
A. Lunardi (2012)
10.1136/thx.2007.094250
Role of routine computed tomography in paediatric pleural empyema
A. Jaffe (2008)
New trends in the diagnosis and treatment in parapneumonic effusion and empyema.
M. J. Na (2008)
Ultrasound-assisted transthoracic diagnostic techniques
C. F. Koegelenberg (2011)
10.1016/S0169-5002(13)70329-5
110P MALIGNANT PLEURAL MESOTHELIOMA: CLINICOPATHOLOGIC AND SURVIVAL CHARACTERISTICS IN A CONSECUTIVE SERIES OF 40 PATIENTS
R. Bagheri (2013)
10.3348/kjr.2018.19.5.872
Cone-Beam CT Virtual Navigation-Guided Percutaneous Needle Biopsy of Suspicious Pleural Metastasis: A Pilot Study
Hyun-ju Lim (2018)
10.1177/0009922815589917
Parapneumonic Effusion in Children
M. Hendaus (2016)
10.1016/S1877-1203(14)70606-8
Abord de l’épanchement pleural métastatique symptomatique cas clinique interactif
Philippe Astoul (2014)
10.2147/CLEP.S16931
Positive predictive value of the ICD-10 hospital diagnosis of pleural empyema in the Danish National Registry of Patients
M. Søgaard (2011)
10.1111/j.1365-2362.2010.02367.x
Clinical application of transthoracic ultrasonography in inpatients with pneumonia
M. Sperandeo (2011)
REFINEMENTS AND INNOVATIONS IN BIOPSY AND ANALYSIS TECHNIQUES FOR PLEURAL AND LUNG DISEASE
A. Diacon (2007)
10.1016/J.EJCDT.2014.10.001
Role of thoracentesis in the management of tuberculous pleural effusion
M. Agha (2015)
See more
Semantic Scholar Logo Some data provided by SemanticScholar