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Investigation of a unilateral pleural effusion: What CT scan coverage is optimal?

Syer, T; Arnold, DT; Patole, S; Harvey, J; Medford, A; Maskell, NA; Edey, A; (2020) Investigation of a unilateral pleural effusion: What CT scan coverage is optimal? Thorax 10.1136/thoraxjnl-2019-214309. (In press). Green open access

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Abstract

The use of thoracic CT for patients presenting with a unilateral pleural effusion is well established. However, there is no consensus with regard to the inclusion of the entire abdomen and pelvis in the initial imaging protocol. In this prospective UK-based study, 249 patients presenting with a unilateral effusion had a CT thorax/abdomen/pelvis performed. The prevalence of malignancy on thoracic CT was 56% (140/249). Clinically significant findings below the diaphragm were identified in 59 patients (24%). Integrating this approach into standard practice allows more rapid identification of the primary malignancy, upstaging lesions or alternative sites for biopsy.

Type: Article
Title: Investigation of a unilateral pleural effusion: What CT scan coverage is optimal?
Location: England
Open access status: An open access version is available from UCL Discovery
DOI: 10.1136/thoraxjnl-2019-214309
Publisher version: http://dx.doi.org/10.1136/thoraxjnl-2019-214309
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher's terms and conditions.
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Medicine > Department of Imaging
URI: https://discovery.ucl.ac.uk/id/eprint/10094756
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