Lung ultrasound in community-acquired pneumonia and in interstitial lung diseases.
Lung ultrasound (LUS) is an accurate tool for the diagnosis and follow-up of pneumonia in adults as well as in children. LUS is at least as accurate as chest radiography in diagnosing pneumonia. The most important parenchymal criterion is the positive air bronchogram within an echopoor area. Among pleural criteria, basal effusion was most often detected. The presence of multiple diffuse bilateral B-lines on lung examination indicates the interstitial syndrome (IS). For further differential diagnosis, an integrated consideration of history, clinical examination, LUS and echocardiography should be performed. LUS is an excellent tool for IS screening. Repeated LUS control examinations may reflect the dynamics of IS under therapy and so LUS may serve as a therapy guide. .
Department of Internal Medicine I, Pneumology and Allergology, Jena University Hospital, Friedrich Schiller University Jena, Jena, Germany.
Angelika
A
Reissig
Roberto
R
Copetti
D017714:Community-Acquired Infections / Q000175:diagnosis / Q000000981:diagnostic imaging; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging*; D017563:Lung Diseases, Interstitial / Q000175:diagnosis / Q000000981:diagnostic imaging*; D010996:Pleural Effusion / Q000175:diagnosis / Q000000981:diagnostic imaging; D011014:Pneumonia / Q000175:diagnosis / Q000000981:diagnostic imaging*; D011654:Pulmonary Edema / Q000175:diagnosis / Q000000981:diagnostic imaging; D011859:Radiography; D012680:Sensitivity and Specificity; D014463:Ultrasonography