Caroline Patterson, Simon P.G. Padley
Chest radiography is the most commonly performed diagnostic imaging test, but in unselected acute medical admissions it offers low diagnostic yield and high case-finding costs. There has been a trend towards the use of targeted radiological investigation. Advances in computed tomography technology, with improvements in spatial and temporal resolution, have facilitated detailed cardio-pulmonary imaging within a single breath hold. Advances in ultrasound technology have improved the accurate delineation of small thoracic structures with the added advantages of portability, repeatability. Real-time, dynamic ultrasound imaging is particularly useful for ‘point-of-care’ testing. The targeted use of radiological investigations early in clinical assessment has the potential to reduce diagnostic time and costs, improve diagnostic yield and facilitate prompt treatment.
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