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

Parietal Pleural Changes In Empyema: Appearances At CT.

R. J. Waite, R. Carbonneau, J. Balikian, C. Umali, A. Pezzella, G. Nash
Published 1990 · Medicine

Cite This
Download PDF
Analyze on Scholarcy
Share
The parietal pleura bordering pleural space collections was analyzed with computed tomography (CT) in 35 patients with thoracic empyema, 30 patients with malignant effusion, and 20 patients with transudatory effusion. Enhancement of the parietal pleura was present in 96% of the 25 patients with empyema who underwent contrast material-enhanced examinations. Of the 35 patients with empyema, 86% showed thickening of the parietal pleura, 60% showed thickening of the extrapleural subcostal tissues, and 35% showed increased attenuation of the extrapleural fat. None of the 20 patients with transudatory effusion showed these findings. Of the 30 patients with malignant effusion, eight patients (27%) showed chest wall changes similar to those of the patients with empyema. However, two-thirds of these patients had a recognized superimposed complication (ie, sclerotherapy). Contrast-enhanced CT appears to be sensitive to chest wall changes in patients with empyema. CT study of the parietal pleura may help suggest occult pleural space infections and may influence therapeutic decisions that vary with the stage of empyema.



This paper is referenced by
10.1183/09031936.03.00099502
Prognostic features of residual pleural thickening in parapneumonic pleural effusions
D. Jiménez Castro (2003)
Asociación de las metaloproteinasas y sus inhibidores tisulares con el sistema de la fibrinolisis y los marcadores de activación neutrofílica en los derrames pleurales paraneumónicos
Daniel Iglesias Sáenz (2007)
10.1097/00004728-199707000-00015
Intrathoracic lymphadenopathy in patients with empyema.
L. Haramati (1997)
Chest CT finding in 409 patients with chest pain: Can chest MDCT provide comprehensive evaluation for the cause of chest pain?
S. S. Shim (2012)
10.1016/S0272-5231(05)70086-1
Surgical management of empyema.
K. Katariya (1998)
10.1136/thx.2008.100545
Thoracic ultrasound in the diagnosis of malignant pleural effusion
N. R. Qureshi (2008)
10.1016/S0033-8389(05)70164-0
Percutaneous needle biopsy of the pleura.
N. Screaton (2000)
10.1007/978-3-540-68908-9_19
Imaging and Treatment of Thoracic Fluid and Gas Collections
C. N. Tchuisse (2007)
10.3346/jkms.2008.23.4.616
Factors Influencing Residual Pleural Opacity in Tuberculous Pleural Effusion
Jee-Sook Kwon (2008)
10.1111/j.1440-1843.2003.00535.x
The management of pleural space infections
S. Chapman (2004)
10.1002/jmri.22372
Imaging of the pleura
E. J. Helm (2010)
10.1183/2312508X.10005816
Antibiotics for pleural infections
Rahul Bhatnagar (2017)
Imaging ofthe Pleura
N. Muller (1993)
10.1016/J.RCL.2004.11.001
Imaging in immunocompetent children who have pneumonia.
L. Donnelly (2005)
10.1016/B978-0-323-05375-4.50028-8
Pleura and Chest Wall
N. Rahman (2009)
10.1016/S0022-5223(99)70417-4
Video-assisted thoracoscopy in the treatment of pleural empyema: stage-based management and outcome.
P. C. Cassina (1999)
10.1164/AJRCCM.160.5.9903002
Predictors of outcome and long-term survival in patients with pleural infection.
C. W. Davies (1999)
10.1007/s00063-005-1019-z
Langzeitergebnisse der intrapleuralen Fibrinolytikatherapie komplizierter parapneumonischer Pleuraergüsse und Empyeme über kleinlumige Katheter
S. Tasci (2005)
10.2214/AJR.185.3.01850616
Pleuropulmonary paragonimiasis: CT findings in 31 patients.
T. Kim (2005)
10.1097/01.RAD.0000079868.92422.C6
Pleural Changes in Tuberculosis: Computed Tomography Appearances
H. O'Dwyer (2003)
10.1016/S0003-4975(03)01012-9
Intrapleural fibrinolytic treatment of multiloculated postpneumonic pediatric empyemas.
C. Ozçelik (2003)
10.1016/J.CRAD.2004.09.010
Chronic tuberculous empyema: relationships between preoperative CT findings and postoperative improvement measured by pulmonary function testing.
D. Kim (2005)
10.1016/S0761-8417(06)75423-2
Inflammation et fibrose pleurale
I. Mahjoubi (2006)
10.1097/00004728-200101000-00002
Parietal Pleura and Extrapleural Space in Chronic Tuberculous Empyema: CT–Pathologic Correlation
H. Kim (2001)
10.1259/0007-1285-64-763-580
The extrapleural fat in empyema: CT appearance.
J. Takasugi (1991)
10.1136/THORAX.2003.013094
BTS guidelines for the management of pleural infection.
C. Davies (2003)
10.1378/CHEST.130.4_MEETINGABSTRACTS.328S-B
EMPYEMA DUE TO STREPTOCOCCUS MORBILLORUM IN A PATIENT WITH ACHALASIA CARDIA: A SAPROPHYTE TURNED PATHOGEN IN AN ASPIRATE MILIEU
Karthikeyan Kanagarajan (2006)
10.1016/b978-2-294-71321-7.50014-8
CHAPITRE 6 – PATHOLOGIE TUMORALE DU PARENCHYME PULMONAIRE
Daniel Jeanbourquin (2013)
10.1080/20018525.2019.1565803
The value of computed tomography in discriminating malignant from non-malignant causes of unresolved unilateral pleural effusions: a systematic review
S. Reuter (2019)
10.1111/resp.13040
Computed tomography scoring system for discriminating between parapneumonic effusions eventually drained and those cured only with antibiotics
J. M. Porcel (2017)
10.2214/AJR.08.1286
Pleural effusion: characterization with CT attenuation values and CT appearance.
Yigal Abramowitz (2009)
10.1111/vru.12240
Computed tomographic findings in 57 cats with primary pulmonary neoplasia.
S. Aarsvold (2015)
See more
Semantic Scholar Logo Some data provided by SemanticScholar