I have been performing echoes lately and I have not run into this scenario as of yet, but can you diagnose mets in the chest via ultrasound? Also how would you go about obtaining an FNA in this area?
I have been performing echoes lately and I have not run into this scenario as of yet, but can you diagnose mets in the chest via ultrasound? Also how would you go about obtaining an FNA in this area?
Comments
Any chance you have a DV or
Any chance you have a DV or VD rad because it helps map out the lesion to see if its close enough to the wall or diaphragm to have an acoustic window.
Any chance you have a DV or
Any chance you have a DV or VD rad because it helps map out the lesion to see if its close enough to the wall or diaphragm to have an acoustic window.
I unfortunately do not have a
I unfortunately do not have a VD view of this patient. Do you map it out through rib spacing and organ vs mass location?
I unfortunately do not have a
I unfortunately do not have a VD view of this patient. Do you map it out through rib spacing and organ vs mass location?
Yes if you can see the lesion
Yes if you can see the lesion within 1-1.5 cm of the thoracic wall or the diagphram, you can collapse the chest with pressure and obtain an acoustic window to sample if the lesion is large enough. Or, if in the caudal chest, go through the dipaghragm from the subxyphoid approach. If pleural effusion is there you can use that to your advantage.
Check this out in Interventional Procedures
http://sonopath.com/resources/interventional-procedures/lindquist-compression
Yes if you can see the lesion
Yes if you can see the lesion within 1-1.5 cm of the thoracic wall or the diagphram, you can collapse the chest with pressure and obtain an acoustic window to sample if the lesion is large enough. Or, if in the caudal chest, go through the dipaghragm from the subxyphoid approach. If pleural effusion is there you can use that to your advantage.
Check this out in Interventional Procedures
http://sonopath.com/resources/interventional-procedures/lindquist-compression
Great thank you! It will be
Great thank you! It will be nice to have that information and direction on the technique when I come upon a lesion I can sample.
Great thank you! It will be
Great thank you! It will be nice to have that information and direction on the technique when I come upon a lesion I can sample.