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Recent Advances in Chest Medicine |

Thoracic Ultrasonography for the Pulmonary SpecialistThoracic Ultrasonography

Seth J. Koenig, MD; Mangala Narasimhan, DO, FCCP; Paul H. Mayo, MD, FCCP
Author and Funding Information

From the Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, NY.

Correspondence to: Seth J. Koenig, MD, Department of Medicine, Long Island Jewish Medical Center, 270-05 76th Ave, New Hyde Park, NY 11040; e-mail: skoenig@nshs.edu


Editor’s Note:The online version of this article includes three videos intended to enhance the major concepts presented. The videos can be viewed at: http://chestjournal.chestpubs.org/content/140/5/1332.full

Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).


© 2011 American College of Chest Physicians


Chest. 2011;140(5):1332-1341. doi:10.1378/chest.11-0348
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Thoracic ultrasonography is a noninvasive and readily available imaging modality that has important applications in pulmonary medicine outside of the ICU. It allows the clinician to diagnose a variety of thoracic disorders at the point of care. Ultrasonography is useful in imaging lung consolidation, pleural-based masses and effusions, pneumothorax, and diaphragmatic dysfunction. It can identify complex or loculated effusions and be useful in planning treatment. Identifying intrathoracic mass lesions can guide sampling by aspiration and biopsy. This article summarizes thoracic ultrasonography applications for the pulmonary specialist, related procedural codes, and reimbursement. The major concepts are illustrated with cases. These case summaries are enhanced with online supplemental videos and chest radiograph, chest CT scan, and ultrasound correlation.

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Thoracic Ultrasonography 1

Thoracic Ultrasonography 2

Thoracic Ultrasonography 3

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