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Table 3 Ultrasound scan to define the nature of pleural effusion

From: Thoracic ultrasound for pleural effusion in the intensive care unit: a narrative review from diagnosis to treatment

 

Exudate

Transudate

Hemothorax

Empyema

Malignant effusion

Internal echogenicity:

Anechoic

Complex non-septated

Complex septated

Septation, non -septated or anaechoic

Anechoic

Hyperechogenic

Often septated

Complex septation, non-septated

Echogenicity:

Homogeneity or not

Homogeneity or not

Not

Homogeneity

Homogeneity

Homogeneity

Pleural thickness

Thickened

Normal

Thickness

Thickness

Irregular pleural thickness

Other findings

Based on the etiologies

General bilaterally, echocardiography findings

Pneumothorax, atelectasis, consolidation

Pulmonary consolidation and air bronchograms

Liver metastasis;

presence of pleural or diaphragmatic nodules