Skip to main content

Ultrasonography of the Chest Wall

  • Chapter
  • First Online:
Chest Sonography
  • 1194 Accesses

Abstract

Fractures of the rib and the sternum can be seen well on ultrasound. Fracture diagnosis by ultrasonography is not only much more sensitive than conventional X-rays, but also demonstrates accompanying soft tissue lesions, hematomas and pleural effusions reliably and rapidly. The visualization of lymph nodes and a tentative statement about the malignant or benign nature of a lesion constitute an important reason to perform an ultrasound investigation of the chest wall. In case a puncture needs to be performed prior to treatment, ambiguous lesions in the chest wall can be easily accessed for an ultrasound-guided puncture and subsequent histological confirmation of the diagnosis. The risks associated with puncture are very low because of the convenient location. In cases of proven malignancy, lesions of the chest wall can be monitored during treatment.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  • Ahuja AT, Ying M, Yuen HY, Metreweli C (2001) “Pseudocystic” appearance of non-Hodgkin’s lymphomatous nodes: an infrequent finding with high-resolution transducers. Clin Radiol 56(2):111–115. doi:10.1053/crad.2000.0642

    Article  CAS  PubMed  Google Scholar 

  • Bandi V, Lunn W, Ernst A, Eberhardt R, Hoffmann H, Herth FJ (2008) Ultrasound vs. computed tomography in detecting chest wall invasion by tumor: a prospective study. Chest 133(4):881–886. doi: chest.07-1656 [pii] 10.1378/chest.07-1656

  • Bitschnau R, Gehmacher O, Kopf A, Scheier A, Mathis G (1997) Ultraschalldiagnostik von Rippen- und Sternumfrakturen. Ultraschall Med 18(4):158–161

    Article  CAS  PubMed  Google Scholar 

  • Briccoli A, Galletti S, Salone M, Morganti A, Pelotti P, Rocca M (2007) Ultrasonography is superior to computed tomography and magnetic resonance imaging in determining superficial resection margins of malignant chest wall tumors. JUM J Ultrasound Med 26(2):157–162

    Article  Google Scholar 

  • Chan SS (2009) Emergency bedside ultrasound for the diagnosis of rib fractures. Am J Emerg Med 27(5):617–620. doi:10.1016/j.ajem.2008.04.013

    Article  PubMed  Google Scholar 

  • Ciatto S, Brancato B, Risso G, Ambrogetti D, Bulgaresi P, Maddau C, Turco P, Houssami N (2007) Accuracy of fine needle aspiration cytology (FNAC) of axillary lymph nodes as a triage test in breast cancer staging. Breast Cancer Res Treat 103(1):85–91. doi:10.1007/s10549-006-9355-0

    Article  PubMed  Google Scholar 

  • Detterbeck FC, Postmus PE, Tanoue LT (2013) The stage classification of lung cancer: diagnosis and management of lung cancer, 3. Aufl. American college of chest physicians evidence-based clinical practice guidelines. Chest J 143(5. Suppl):e191S–e210S. doi:10.1378/chest.12-2354

    Article  Google Scholar 

  • Esen G (2006) Ultrasound of superficial lymph nodes. Eur J Radiol 58(3):345–359. doi:10.1016/j.ejrad.2005.12.039

    Article  PubMed  Google Scholar 

  • Facciolo F, Cardillo G, Lopergolo M, Pallone G, Sera F, Martelli M (2001) Chest wall invasion in non-small cell lung carcinoma: a rationale for en bloc resection. J Thorac Cardiovasc Surg 121(4):649–656. doi: S0022-5223(01)72517-2 [pii] 10.1067/mtc.2001.112826

  • Friedrich RE, Volkenstein RJ (1994) Diagnose und Repositionskontrolle von Jochbogenfrakturen. Ultraschall Med 15(4):213–216. doi:10.1055/s-2007-1003967

    Article  CAS  PubMed  Google Scholar 

  • Griffith JF, Rainer TH, Ching ASC, Law KC, Cocks RA, Metreweli C (1999) Sonography compared with radiography in revealing acute rib fracture. AJR Am J Roentgenol 173(6):1603–1609

    Article  CAS  PubMed  Google Scholar 

  • Hyacinthe AC, Broux C, Francony G, Genty C, Bouzat P, Jacquot C, Albaladejo P, Ferretti GR, Bosson JL, Payen JF (2012) Diagnostic accuracy of ultrasonography in the acute assessment of common thoracic lesions after trauma. Chest 141(5):1177–1183. doi:10.1378/chest.11-0208

    Article  PubMed  Google Scholar 

  • Johnson S, Brown S, Porter G, Steel J, Paisley K, Watkins R, Holgate C (2011) Staging primary breast cancer. Are there tumour pathological features that correlate with a false-negative axillary ultrasound? Clin Radiol 66(6):497–499. doi:10.1016/j.crad.2010.11.015

    Article  CAS  PubMed  Google Scholar 

  • Krishnamurthy S, Sneige N, Bedi DG, Edieken BS, Fornage BD, Kuerer HM, Singletary SE, Hunt KK (2002) Role of ultrasound-guided fine-needle aspiration of indeterminate and suspicious axillary lymph nodes in the initial staging of breast carcinoma. Cancer 95(5):982–988. doi:10.1002/cncr.10786

    Article  PubMed  Google Scholar 

  • Mountain CF (1997) Revisions in the international system for staging lung cancer. Chest 111(6):1710–1717

    Article  CAS  PubMed  Google Scholar 

  • Paik SH, Chung MJ, Park JS, Goo JM, Im JG (2005) High-resolution sonography of the rib: can fracture and metastasis be differentiated? AJR Am J Roentgenol 184(3):969–974. doi:10.2214/ajr.184.3.01840969

    Article  PubMed  Google Scholar 

  • Prosch H, Strasser G, Sonka S, Oschatz E, Mashaal S, Mohn-Staudner A, Mostbeck GH (2007) Cervical ultrasound (US) and US-guided lymph node biopsy as a routine procedure for a staging of lung cancer. Ultraschall Med 28(6):598–603. doi:10.1055/s-2007-963215

    Article  CAS  PubMed  Google Scholar 

  • Suzuki N, Saitoh T, Kitamura S (1993) Tumor invasion of the chest wall in lung cancer: diagnosis with US. Radiology 187(1):39–42

    Article  CAS  PubMed  Google Scholar 

  • Tschammler A, Beer M, Hahn D (2002) Differential diagnosis of lymphadenopathy: power Doppler vs color Doppler sonography. Eur Radiol 12(7):1794–1799

    Article  CAS  PubMed  Google Scholar 

  • Turk F, Kurt AB, Saglam S (2010) Evaluation by ultrasound of traumatic rib fractures missed by radiography. Emerg Radiol 17(6):473–477. doi:10.1007/s10140-010-0892-9

    Article  PubMed  Google Scholar 

  • van Overhagen H, Brakel K, Heijenbrok MW, van Kasteren JH, van de Moosdijk CN, Roldaan AC, van Gils AP, Hansen BE (2004) Metastases in supraclavicular lymph nodes in lung cancer: assessment with palpation, US, and CT. Radiology 232(1):75–80

    Article  PubMed  Google Scholar 

  • Wüstner A, Gehmacher O, Hammerle S, Schenkenbach C, Hafele H, Mathis G (2005) Ultraschalldiagnostik bei stumpfen Thoraxtrauma. Ultraschall Med 26(4):285–290. doi:10.1055/s-2005-858524

    Article  PubMed  Google Scholar 

  • Ying M, Ahuja A, Brook F (2004) Accuracy of sonographic vascular features in differentiating different causes of cervical lymphadenopathy. Ultrasound Med Biol 30(4):441–447. doi:10.1016/j.ultrasmedbio.2003.12.009

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Helmut Prosch .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2017 Springer International Publishing Switzerland

About this chapter

Cite this chapter

Prosch, H. (2017). Ultrasonography of the Chest Wall. In: Mathis, G. (eds) Chest Sonography. Springer, Cham. https://doi.org/10.1007/978-3-319-44072-9_2

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-44072-9_2

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-44071-2

  • Online ISBN: 978-3-319-44072-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics