0
Abstract: Poster Presentations |

IS PLEURAL EFFUSION A COMMON CHEST RADIOGRAPHIC FINDING IN PULMONARY EMBOLISM? FREE TO VIEW

Evagelia Papageorgiou, MD; Maria Kokosi, MD; Vasileios Skouras, MD*; Apostolos Voulgaridis, MD; Filia Diamantea, PhD; Emmanouil Kastanakis, MD; Napoleon Karagiannidis, PhD; Vlasis Polychronopoulos, PhD
Author and Funding Information

“SISMANOGLIO” General Hospital, Athens, Greece


Chest


Chest. 2008;134(4_MeetingAbstracts):p57001. doi:10.1378/chest.134.4_MeetingAbstracts.p57001
Text Size: A A A
Published online

Abstract

PURPOSE: The purpose of this study was to evaluate the incidence and the size of pulmonary emboli-associated pleural effusions.

METHODS: This is a retrospective analysis of 45 patients with the diagnosis of pulmonary embolism for over a 3 year period time. Computed tomography pulmonary angiography (CTPA) was used for the diagnosis of pulmonary embolism. Chest x-ray (CXR) was also performed for detection of pleural effusion.

RESULTS: Pleural effusion was present on CXR in twenty six (57%) patients. In fifteen (57%) of them it was right-sided, in five (19%) left-sided while six (24%) patients presented with bilateral pleural effusion. Twenty two (84%) effusions occupied less than 10% of the hemithorax, four (16%) 10–40%, and none occupied more than 40% of the hemithorax. In three (12%) cases, pleural effusion was not evident in CXR and was diagnosed on chest CT. Only four (16%) patients underwent thoracentecis. According to Light's criteria, all fluids were exudates with equal incidence of neutrophilic or lymhocytic predominance.

CONCLUSION: Pleural effusions were present in more than half of the patients with pulmonary embolism. The majority of them were small (<10% of the hemithorax). Pleural fluid findings were not diagnostically helpful.

CLINICAL IMPLICATIONS: Although chest x-ray cannot be used to rule in or rule out pulmonary embolism, the nondiagnosed small pleural effusions should alarm clinicians for the possibility of thromboembolic disease. On the other hand, large pleural effusions, especially if occupying more than half of the hemithorax, make the diagnosis of pulmonary embolism unlikely.

DISCLOSURE: Vasileios Skouras, No Financial Disclosure Information; No Product/Research Disclosure Information

Tuesday, October 28, 2008

1:00 PM - 2:15 PM


Figures

Tables

References

NOTE:
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging & repositioning the boxes below.

CHEST Journal Articles
PubMed Articles
Guidelines
  • CHEST Journal
    Print ISSN: 0012-3692
    Online ISSN: 1931-3543