The Assessment of Pleural Effusion Using CT Pulmonary Angiography-A Review

Main Article Content

Muhammad Ahmad Raza
Muhammad Azam
Kaleem Ullah
Saifullah Khan
Laamia Altuf

Abstract

Background: Pleural effusion is a common clinical presentation with various etiologies, including pulmonary embolism (PE), which remains underdiagnosed. The association between PE and pleural effusion, particularly the exudative type, necessitates a thorough understanding of the diagnostic role of computed tomography pulmonary angiography (CTPA).


Objective: This review aims to elucidate the prevalence and characteristics of pleural effusions in PE patients and to evaluate the effectiveness of CTPA in the diagnosis of unilateral pleural effusions of unknown etiology.


Methods: A systematic search across databases such as Google Scholar, PubMed, and NCBI yielded 39 articles, from which 20 met the inclusion criteria focused on the diagnostic utility of CTPA for unilateral pleural effusion. Studies were appraised for relevance to PE and pleural effusion, methodological rigor, and contribution to the field.


Results: The review revealed that pleural effusions associated with PE typically present modestly and peak around the third day post-embolism. Persistent or late-onset effusions may suggest recurrent embolism or other pathologies. Contrast-enhanced CT demonstrated variable sensitivity and specificity in detecting malignant pleural effusions, suggesting the need for cautious interpretation and possible further invasive investigation.


Conclusion: CTPA plays a critical role in the evaluation of pleural effusion, especially when PE is suspected. An integrated diagnostic approach, including pleural-phase thoracic CT, is recommended for patients with suspected malignant pleural effusions to improve clinical outcomes.

Article Details

How to Cite
Raza, M. A., Azam, M., Ullah, K., Khan, S., & Altuf, L. (2024). The Assessment of Pleural Effusion Using CT Pulmonary Angiography-A Review. Journal of Health and Rehabilitation Research, 4(1), 1230–1233. https://doi.org/10.61919/jhrr.v4i1.557
Section
Articles
Author Biographies

Muhammad Ahmad Raza, University of Lahore- Lahore Pakistan.

University Institute of Radiological Science & MIT ,University of Lahore, Lahore

Muhammad Azam, University of Lahore-Lahore Pakistan

Lahore School of Nursing, University of Lahore, Lahore

Kaleem Ullah, Mayo Hospital Lahore

Charge Nurse, Mayo Hospital Lahore

Saifullah Khan, Iqra National University-Hayatabad-Peshawar Pakistan.

Iqra National University-Hayatabad-Peshawar Pakistan.

Laamia Altuf, Superior University Lahore Pakistan.

Department of Radiological Sciences & MIT, Superior University, Lahore Pakistan.

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