Pleura

A 75-Year-Old Woman With Fever and a Right Upper Lobe Pulmonary Mass

“…Th ese include intrapleural spread of infection resulting in empyema and BPF. Th ese complications may be avoided by looking for the absence of lung sliding at the area to be punctured (this occurs because of the local infl ammatory process resulting in pleural adhesion) (Video 4) as well as avoiding areas of normal aeration, 9 using the shortest pathway of chest tube insertion, and passing through solid, homogenous, infi ltrated, or atelectatic tissue. 2 Clogging of the chest tube requiring tube exchange is the most common complication, but this can be avoided with daily irrigation using 5 to 15 mL of normal saline.…”

Thoracic ultrasound in children: reply to Maggi et al

“…Regarding Figure 1, the apparently thicker visceral pleura, in fact, is an artefact due to reflection from the air-containing lung: The visceral pleura is completely obscured by the complete reflection of the ultrasound beam at the lung surface [3]. The parietal pleura is enhanced in a small tract (corresponding to the arrowheads) for artefacts related to respiratory movements and beam incidence.…”