[Value of supine thoracic radiography in the diagnosis and quantification of pleural effusions: comparison with sonography].

Research paper by K K Eibenberger, W W Dock, V V Metz, C C Weinstabl, B B Haslinger, F F Grabenwöger

Indexed on: 01 Oct '91Published on: 01 Oct '91Published in: RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin


The purpose of this prospective study was to verify the value of the supine chest radiograph with regard to the recognition and quantification of pleural effusions. The findings of supine chest radiographs were compared to those of chest sonography in a total of 320 pleural cavities. The correct identification and quantification of a pleural effusion was possible by supine chest radiograph alone in only 55% of cases (176/320). In 20% (64/320) supine chest x-ray was falsely negative and in 15% (48/320) falsely positive. In 10% an existing effusion was in fact recognised on supine chest x-ray; however the amount of effusion was wrongly estimated.