Comments and Illustrations of the European Federation of Societies for Ultrasound in Medicine Guidelines: Benign Pleura Lesions (Benign Pleura Thickening, Lesions and Masses)—What Can Be Seen on Transthoracic Ultrasound?
Pleural thickening can be the result of inflammation or infection but can also have a neoplastic origin. Depending on the clinical context, a pleural lesion or mass is often initially suspected of malignancy. Benign pleural tumors are rare, and their appearance on ultrasound (US) is also described l...
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2025-01-01
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| author | Kathleen Möller Tomas Maruskin Michael Ludwig Wolfgang Blank Stephan Eisenmann Christian Jenssen Hajo Findeisen Burkhard Möller Christoph F. Dietrich |
| author_facet | Kathleen Möller Tomas Maruskin Michael Ludwig Wolfgang Blank Stephan Eisenmann Christian Jenssen Hajo Findeisen Burkhard Möller Christoph F. Dietrich |
| author_sort | Kathleen Möller |
| collection | DOAJ |
| description | Pleural thickening can be the result of inflammation or infection but can also have a neoplastic origin. Depending on the clinical context, a pleural lesion or mass is often initially suspected of malignancy. Benign pleural tumors are rare, and their appearance on ultrasound (US) is also described less frequently than pleural metastases or malignancies. There are few descriptions of contrast-enhanced Ultrasound (CEUS) in particular. This review introduces the basics of transthoracic ultrasound (TUS) of the pleura and CEUS of the pleura and lung. CEUS is recommended for pulmonary applications in the EFSUMB guidelines in non-hepatic applications. This article provides an overview of the characteristics of benign pleural thickening, tumor-like lesions, and benign pleural tumors on transthoracic B-mode US with color Doppler imaging (CDI) and CEUS. In detail, characteristics in TUS and CEUS are described for infectious/inflammatory pleural thickening (empyema, tuberculous pleuritis, hemothorax, fibrothorax), pleural thickening in various systemic diseases, in tumor-like conditions (plaques, splenosis, endometriosis, mesothelial cysts, lymphangiomatosis) and benign tumors (lipoma, benign SFT, schwannoma, solitary extramedullary/extraosseous plasmacytoma). The descriptions are illustrated by corresponding US and CEUS images. |
| format | Article |
| id | doaj-art-df162c2a7eb3431e8613b7cba15a4a58 |
| institution | Kabale University |
| issn | 2075-4418 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Diagnostics |
| spelling | doaj-art-df162c2a7eb3431e8613b7cba15a4a582025-01-24T13:29:00ZengMDPI AGDiagnostics2075-44182025-01-0115217610.3390/diagnostics15020176Comments and Illustrations of the European Federation of Societies for Ultrasound in Medicine Guidelines: Benign Pleura Lesions (Benign Pleura Thickening, Lesions and Masses)—What Can Be Seen on Transthoracic Ultrasound?Kathleen Möller0Tomas Maruskin1Michael Ludwig2Wolfgang Blank3Stephan Eisenmann4Christian Jenssen5Hajo Findeisen6Burkhard Möller7Christoph F. Dietrich8Medical Department I/Gastroenterology, SANA Hospital Lichtenberg, 10365 Berlin, GermanyDepartment General Internal Medicine (DAIM), Hospitals Hirslanden Bern Beau Site, Salem and Permanence, 3013 Bern, SwitzerlandDepartment for Internal Medicine, Hospital of the German Armed Forces, 10115 Berlin, GermanyMedical Department I, Hospital on Steinenberg Reutlingen, 72764 Reutlingen, GermanyDepartment for Internal Medicine I, University Hospital Halle, 06120 Halle, GermanyDepartment for Internal Medicine, Hospital Märkisch Oderland, 15344 Strausberg, GermanyDepartment for Internal Medicine, Red Cross Hospital Bremen, 28199 Bremen, GermanyDepartment of Rheumatology and Immunology, Bern University Hospital, Inselspital, University of Bern, 3010 Bern, SwitzerlandDepartment General Internal Medicine (DAIM), Hospitals Hirslanden Bern Beau Site, Salem and Permanence, 3013 Bern, SwitzerlandPleural thickening can be the result of inflammation or infection but can also have a neoplastic origin. Depending on the clinical context, a pleural lesion or mass is often initially suspected of malignancy. Benign pleural tumors are rare, and their appearance on ultrasound (US) is also described less frequently than pleural metastases or malignancies. There are few descriptions of contrast-enhanced Ultrasound (CEUS) in particular. This review introduces the basics of transthoracic ultrasound (TUS) of the pleura and CEUS of the pleura and lung. CEUS is recommended for pulmonary applications in the EFSUMB guidelines in non-hepatic applications. This article provides an overview of the characteristics of benign pleural thickening, tumor-like lesions, and benign pleural tumors on transthoracic B-mode US with color Doppler imaging (CDI) and CEUS. In detail, characteristics in TUS and CEUS are described for infectious/inflammatory pleural thickening (empyema, tuberculous pleuritis, hemothorax, fibrothorax), pleural thickening in various systemic diseases, in tumor-like conditions (plaques, splenosis, endometriosis, mesothelial cysts, lymphangiomatosis) and benign tumors (lipoma, benign SFT, schwannoma, solitary extramedullary/extraosseous plasmacytoma). The descriptions are illustrated by corresponding US and CEUS images.https://www.mdpi.com/2075-4418/15/2/176benign pleural tumorspleural lesionsbenign tumorlike conditionstransthoracic ultrasonographycontrast-enhanced ultrasonography |
| spellingShingle | Kathleen Möller Tomas Maruskin Michael Ludwig Wolfgang Blank Stephan Eisenmann Christian Jenssen Hajo Findeisen Burkhard Möller Christoph F. Dietrich Comments and Illustrations of the European Federation of Societies for Ultrasound in Medicine Guidelines: Benign Pleura Lesions (Benign Pleura Thickening, Lesions and Masses)—What Can Be Seen on Transthoracic Ultrasound? Diagnostics benign pleural tumors pleural lesions benign tumorlike conditions transthoracic ultrasonography contrast-enhanced ultrasonography |
| title | Comments and Illustrations of the European Federation of Societies for Ultrasound in Medicine Guidelines: Benign Pleura Lesions (Benign Pleura Thickening, Lesions and Masses)—What Can Be Seen on Transthoracic Ultrasound? |
| title_full | Comments and Illustrations of the European Federation of Societies for Ultrasound in Medicine Guidelines: Benign Pleura Lesions (Benign Pleura Thickening, Lesions and Masses)—What Can Be Seen on Transthoracic Ultrasound? |
| title_fullStr | Comments and Illustrations of the European Federation of Societies for Ultrasound in Medicine Guidelines: Benign Pleura Lesions (Benign Pleura Thickening, Lesions and Masses)—What Can Be Seen on Transthoracic Ultrasound? |
| title_full_unstemmed | Comments and Illustrations of the European Federation of Societies for Ultrasound in Medicine Guidelines: Benign Pleura Lesions (Benign Pleura Thickening, Lesions and Masses)—What Can Be Seen on Transthoracic Ultrasound? |
| title_short | Comments and Illustrations of the European Federation of Societies for Ultrasound in Medicine Guidelines: Benign Pleura Lesions (Benign Pleura Thickening, Lesions and Masses)—What Can Be Seen on Transthoracic Ultrasound? |
| title_sort | comments and illustrations of the european federation of societies for ultrasound in medicine guidelines benign pleura lesions benign pleura thickening lesions and masses what can be seen on transthoracic ultrasound |
| topic | benign pleural tumors pleural lesions benign tumorlike conditions transthoracic ultrasonography contrast-enhanced ultrasonography |
| url | https://www.mdpi.com/2075-4418/15/2/176 |
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