Download Transthoracic US (TTUS) of the Chest

Transthoracic US (TTUS)
of the Chest
Clinical Applications
By
Hussein Attia MD
USES:
Evaluation of
1- Peripheral parenchymal
2- Pleural
3- chest wall disease
4- Interventional procedures of the chest wall and
pleural space
Parenchymal Diseases
Pneumonia
 Neoplasms
 Heart failure
 Infarct
 Round atelectasis

Pleural Diseases
Pleural effusion
 Pneumothorax
 Pleural mass
 Mesothelioma

Chest wall abnormalities
Chest wall tumors
 Rib fractures

Other applications
Diaphragmatic paralysis
US Guided biopsy
Thoracocentesis
Technique an instrumentations



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US 2-5 MHz curvilinear probe
High resolution 7.5-10 MHz
Gray scale and Color Doppler imaging
Patient position
a) Raised arm position (in recumbence)
b) Posterior chest in sitting, or lateral standing
position
Scanning positioning
Lateral
debcubitus
Sitting
Supine
suprasternal
approach
Normal anatomy
Diseases of the Pleural space
Anechoic effusion
Complex septated
pleural effusion
Empyema
Diseases of the Pleural space
Pleural thickening
CT mesothelioma
US mesothelioma
Diseases of the Lung Parenchyma

Pneumonia and lung abscess
US consolidation collapse
of right lung lower lobe
CD scan showing pulmonary
artery branch supplying the
collapsed segment
Central perihilar masses
C
CT central neoplasm
M
US central neoplasm
demonstrating both mass
and lung consolidation
Neoplasm (Pancoast tumor)
Plain X ray AP view
US transapical view
Round atelectasis
CT: round atelactasis
within the left lung base
US: pleural invagination sign
Diseases of the chest wall (lipoma)
MRI: T1W Coronal
US: 10 MHz
Diseases of the chest wall (Hemangioma)
MRI: T2W Axial image
US linear scan
Diseases of the chest wall (lymph nodes)
US: Hyperplastic lymph node
CD: Hyperplastic lymph node
Metastatic lymph nodes
US: metastatic lymph node
PD: metastatic lymph node
Chest wall (rib fracture)
H
rib
US linear scan
Mediastinal Intervention
Biopsy of mediastinal masses
Pleural effusion and basal collapse
Normal CPA comet-tail artifact
THANK YOU