Comprehensive Imaging Review of Pleural Fistulas from Diagnosis to Management

Kapoor, Harit; Gulati, Vaibhav; Gulati, Achal; Donuru, Achala; Parekh, Maansi

doi:10.1148/rg.220083

Cited by 2 publications

(1 citation statement)

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“…It is also suspected when there is a persistent air leak in the pleural space for more than 24 h (Figure 14) or when pneumothorax recurs following the removal of the drains [57]. CECT is the optimal technique for diagnosing a pleural fistula due to its high resolution, which enables the identification of direct connections between small peripheral bronchi and the pleural space [58]. that are not fully explained by cardiac failure or fluid overload within 7 days of a clinical insult [59].…”

Section: Pleural Fistulasmentioning

confidence: 99%

Imaging of Acute Complications of Community-Acquired Pneumonia in the Paediatric Population—From Chest Radiography to MRI

Alexopoulou,

Prountzos,

Raissaki

et al. 2024

Children

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The most common acute infection and leading cause of death in children worldwide is pneumonia. Clinical and laboratory tests essentially diagnose community-acquired pneumonia (CAP). CAP can be caused by bacteria, viruses, or atypical microorganisms. Imaging is usually reserved for children who do not respond to treatment, need hospitalisation, or have hospital-acquired pneumonia. This review discusses the imaging findings for acute CAP complications and the diagnostic role of each imaging modality. Pleural effusion, empyema, necrotizing pneumonia, abscess, pneumatocele, pleural fistulas, and paediatric acute respiratory distress syndrome (PARDS) are acute CAP complications. When evaluating complicated CAP patients, chest radiography, lung ultrasonography, computed tomography (CT), and magnetic resonance imaging (MRI) can be used, with each having their own pros and cons. Imaging is usually not needed for CAP diagnosis, but it is essential for complicated cases and follow-ups. Lung ultrasound can supplement chest radiography (CR), which starts the diagnostic algorithm. Contrast-enhanced computed tomography (CECT) is used for complex cases. Advances in MRI protocols make it a viable alternative for diagnosing CAP and its complications.

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Section: Pleural Fistulasmentioning

confidence: 99%