Bildatlas der Lungensonographie pp 61-105 | Cite as
Subpleurale Lungenkonsolidierungen
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Zusammenfassung
Periphere Lungenkonsolidierungen lassen sich im Ultraschall gut abbilden, wenn diese an die Pleura reichen. Klar definierte sonomorphologische Kriterien erlauben meistens bereits im B-Bild eine ätiologische Zuordnung. Details für die Differenzierung von Pneumonie, Neoplasie, Lungenembolie und Atelektasen werden in diesem Kapitel herausgearbeitet. In unklaren Fällen helfen die Farbdopplersonographie oder auch die Kontrastmittelsonographie weiter. Besonders bei Pneumonien besteht eine hohe Treffsicherheit. Eine Infiltration von Karzinomen in die Brustwand ist gut darstellbar und für die Bestimmung des Tumorstadiums wichtig. Bei Lungenembolien ist die Sonographie eine wichtige Ergänzung zur Angiocomputertomographie zur rechtzeitigen Diagnostik.
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