📄 SCRS
Pleural effusion
Pleural effusion ultrasound case study
USG
Pleural effusion ultrasound case study
Case Study Record
| SN | Case Name | Report Line |
|---|---|---|
| 1 | Mild Pleural effusion | View Report Line |
| 2 | Moderate Pleural effusion | - |
| 3 | Massive (Gross) Pleural effusion | - |
| 4 | - | - |
| 5 | - | - |
CASE–1
Right Mild Pleural Effusion
Right Mild Pleural Effusion
Clinical History
A 52-year-old male presented with mild right-sided chest discomfort and progressive shortness of breath for several days. There was no history of chest trauma, fever, hemoptysis, or known pleural malignancy. Ultrasound examination of the thorax was performed for further evaluation.
Ultrasound Findings
Ultrasound examination demonstrates a small anechoic fluid collection within the right pleural cavity, consistent with a mild right pleural effusion. The underlying right lung shows minimal passive compressive atelectatic changes adjacent to the effusion. No internal septations, echogenic debris, pleural nodularity, loculations, or fibrin strands are identified. The visceral and parietal pleura appear smooth, and Color Doppler demonstrates no abnormal vascularity. No left pleural effusion is seen.
|
| Abd- ultrasound. Longitudinal subcostal sonographic image demonstrates a small anechoic collection in the right pleural space with minimal adjacent passive lung atelectasis, consistent with a mild right pleural effusion. |
Report Line
A small anechoic fluid collection is identified within the right pleural cavity, consistent with a mild right pleural effusion. Minimal adjacent passive compressive atelectatic change is noted. No septations, internal echoes, loculations, pleural thickening, or pleural nodules are identified.
Impression
Mild right pleural effusion with minimal adjacent passive compressive atelectatic change.
Go To Table
Recommendation
Correlate with the patient's clinical presentation, chest radiograph, and laboratory investigations to determine the underlying etiology. If clinically indicated, follow-up ultrasound may be performed to assess interval change. Diagnostic thoracentesis should be considered if the effusion enlarges, becomes symptomatic, or if infection or malignancy is suspected.
Key Learning Points
- Ultrasound is more sensitive than chest radiography for detecting small pleural effusions.
- A simple pleural effusion appears as an anechoic fluid collection between the visceral and parietal pleura.
- Minimal passive compressive atelectasis is commonly associated with even small pleural effusions.
- Internal septations, echogenic debris, or loculations suggest a complicated parapneumonic effusion or empyema.
- Pleural nodularity or irregular pleural thickening raises suspicion for malignant pleural disease.
- Ultrasound is the preferred modality for guiding diagnostic and therapeutic thoracentesis.
- Clinical correlation is essential to determine the underlying cause, including cardiac, hepatic, renal, infectious, inflammatory, or malignant conditions.
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