Document Detail

Lung sonographic findings in patients with suspected pulmonary embolism.
MedLine Citation:
PMID:  9654673     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To assess the feasibility and diagnostic performance of lung transthoracic sonography in patients with suspected pulmonary embolism. METHOD: In a prospective clinical study we compared sonographic findings of the peripheral lung with various scintigraphic gradings and D-dimer plasma concentrations. One hundred and nineteen consecutive patients with clinical signs of pulmonary embolism were investigated within 24 hours of the onset of symptoms. RESULTS: Seventy patients with suspected pulmonary embolism (59%) had sonographic lesions, which were echo poor, homogeneous and rounded or wedge-shaped with a hyperechoic reflexion in the centre. Of the patients with high-probability scintigraphic scans 86% had such sonographic lesions as had 79% with intermediate, 64% with low-probability and 33% with normal scintigraphic scans. Of the patients with positive sonographic findings and normal or low-probability scans only a minority (14%) had negative D-dimer tests. CONCLUSION: We found a high rate of specific sonographic lesions in patients with suspected pulmonary embolism when investigating the peripheral lung with ultrasound.
P Lechleitner; W Raneburger; G Gamper; B Riedl; E Benedikt; A Theurl
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ultraschall in der Medizin (Stuttgart, Germany : 1980)     Volume:  19     ISSN:  0172-4614     ISO Abbreviation:  Ultraschall Med     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-09-02     Completed Date:  1998-09-02     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8303585     Medline TA:  Ultraschall Med     Country:  GERMANY    
Other Details:
Languages:  eng     Pagination:  78-82     Citation Subset:  IM    
Department of Internal Medicine, General Hospital Lienz, Austria.
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MeSH Terms
Aged, 80 and over
Feasibility Studies
Middle Aged
Prospective Studies
Pulmonary Embolism / ultrasonography*
Sensitivity and Specificity

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