Ultrasound of the pleural cavities in children

Ultrasound examination of the pleural cavities is a non-invasive diagnostic procedure used to assess the area around the lungs in children. This procedure utilizes high-frequency sound waves to visualize the pleural cavity, allowing for the assessment of the presence of fluid, pleural effusion, and other possible pathological changes. Ultrasound is the preferred method in pediatrics due to its safety, absence of radiation, and ability to provide detailed information about the thoracic cavity. In the "Dobrobut" medical network, a team of experienced pediatricians and ultrasound specialists uses modern equipment to ensure accurate diagnosis.

When to Consult a Doctor

Parents should not delay visiting a doctor and having an ultrasound examination of the pleural cavities if their child exhibits any of the following symptoms:

A persistent cough that does not resolve or even worsens.
Shortness of breath – difficulty breathing or rapid breathing may indicate fluid accumulation or other issues in the thoracic cavity.
Chest pain, especially if it is constant or worsening.
Swelling in the limbs or a feeling of warmth in them may indicate possible thrombosis.
Respiratory issues – signs of reduced respiratory function or inflammation.

Indications and Contraindications

Ultrasound of the pleural cavities in children is a valuable diagnostic tool used to assess various conditions of the pleura and lungs.

Indications for ultrasound examination of the pleura:

Pleural effusion: To detect and evaluate fluid in the pleural cavity, determining its volume and characteristics (transudate vs. exudate), which may be important for diagnosis and treatment.
Pneumothorax: To assess the presence of air in the pleural cavity, which can be especially useful in emergency situations or after more invasive procedures.
Empyema: To diagnose and monitor purulent pleural effusion, often a complication of bacterial pneumonia, by evaluating the nature of the fluid and conducting drainage procedures if necessary.
Pleural thickening, which may be associated with chronic infections, inflammation, or fibrosis.
Chest trauma: For a rapid assessment of hemothorax (blood in the pleural cavity) or other pleural injuries following trauma.
Congenital lung abnormalities: To assess suspected congenital anomalies such as congenital cystic adenomatous malformation or pleural effusion related to congenital diaphragmatic hernia.
Assessment of the diaphragm's integrity and mobility.
Recommendations for thoracentesis: For safer needle or catheter placement during pleural fluid drainage, minimizing complications during both diagnostic and therapeutic procedures.

Ultrasound is an excellent non-invasive, versatile, and highly informative imaging method for assessing pleural conditions in children, providing crucial information for diagnosis and treatment.

There are few contraindications for conducting ultrasound, as it is a safe procedure, but possible exceptions may include severe respiratory failure or the very young age of the child, as well as an inability to remain still.

How the Procedure is Conducted

An ultrasound examination of the pleural cavity in children typically lasts from 15 to 30 minutes.

Usually, minimal preparation is required for pleural ultrasound, especially in children. During the examination, children should be relaxed and still.

The child is typically positioned comfortably, either lying down. Gel is applied to the area of the chest, and a portable device called a transducer is moved over the chest to obtain images of the pleural cavities and surrounding structures.

Results can be obtained immediately after the examination. The doctor assesses them and recommends further examination or treatment.

Appointments for ultrasound of the pleural cavities can be scheduled through the form on the website or by contacting the call center.