Kurtz B, Schmitt W G
Rofo. 1983 May;138(5):577-86. doi: 10.1055/s-2008-1055789.
Sonography was performed in 40 patients with pleural shadowing of uncertain origin in order to complement conventional x-ray examination. Where the findings were not clear-cut, computer tomography was performed subsequently and the diagnosis ascertained by biopsy or operation. Fluid-containing pleural lesions, such as encysted effusions and empyemas, pericardial cysts and one echinococcus cyst were identified by sonography from their appearance and biopsy was performed; computer tomography adds little additional information in these conditions. Solid pleural masses, on the other hand, can be more accurately defined by computer tomography. This shows the entire pleura, including small areas of calcification. Density measurements are able to differentiate various tissues, and particularly fat.
对40例胸膜阴影来源不明的患者进行了超声检查，以补充传统的X线检查。若检查结果不明确，则随后进行计算机断层扫描，并通过活检或手术确定诊断。超声检查根据其外观识别出了含液性胸膜病变，如包裹性积液、脓胸、心包囊肿和1例棘球蚴囊肿，并进行了活检；在这些情况下，计算机断层扫描几乎没有提供更多额外信息。另一方面，实体性胸膜肿块可以通过计算机断层扫描更准确地界定。它能显示整个胸膜，包括小面积的钙化。密度测量能够区分各种组织，尤其是脂肪。
