{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,18]],"date-time":"2026-03-18T18:21:24Z","timestamp":1773858084318,"version":"3.50.1"},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Ultraschall in Med"],"published-print":{"date-parts":[[2019,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2002Tuberculous pleurisy is one of the primary sites of extrapulmonary tuberculosis, but clinicians currently lack the diagnostic tools necessary for early recognition in the absence of typical signs and symptoms. With this study, we aimed to test the association between internal mammary adenopathies and tuberculous pleurisy (TP).<\/jats:p><jats:p>\n          Methods\u200260 patients with a post-thoracoscopic histological diagnosis of granulomatosis or acute infective pleurisy were retrospectively enrolled. All of them had chest sonography and\/or CT scan data available. At least two expert chest sonography physicians re-analyzed the sonography images to look for any internal mammary adenopathy. Such findings were compared to the CT data.<\/jats:p><jats:p>\n          Results\u2002Chest sonography showed internal mammary adenopathy ipsilateral to the pleural effusion in 97\u200a% of 29 patients who had a diagnosis of TP, and in 13\u200a% of those with an acute infective pleurisy (p\u200a&lt;\u200a0.001). Receiver operator characteristic analysis revealed 97\u200a% sensitivity and 87\u200a% specificity for this technique in predicting TP (area under curve 0.92\u200a\u00b1 0.04, p\u200a&lt;\u200a0.001). CT detection power and node measures were significantly similar (p\u200a&lt;\u200a0.001).<\/jats:p><jats:p>\n          Conclusion\u2002Sonographic internal mammary node visualization ipsilateral to the pleural effusion may become a sentinel sign for TP, contributing to early diagnosis or orienting the diagnostic management towards invasive procedures in uncertain cases.<\/jats:p>","DOI":"10.1055\/a-0879-1758","type":"journal-article","created":{"date-parts":[[2019,6,25]],"date-time":"2019-06-25T18:38:55Z","timestamp":1561487935000},"page":"488-494","source":"Crossref","is-referenced-by-count":9,"title":["Internal Mammary Lymph Node Visualization as a Sentinel Sonographic Sign of Tuberculous Pleurisy"],"prefix":"10.1055","volume":"40","author":[{"given":"Ludovico","family":"Messineo","sequence":"additional","affiliation":[{"name":"Department of Experimental and Clinical Sciences, University of Brescia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Quadri","sequence":"additional","affiliation":[{"name":"Pleural Unit, Azienda Socio Sanitaria Territoriale degli\u00a0Spedali Civili di Brescia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Valsecchi","sequence":"additional","affiliation":[{"name":"Pleural Unit, Azienda Socio Sanitaria Territoriale degli\u00a0Spedali Civili di Brescia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara","family":"Lonni","sequence":"additional","affiliation":[{"name":"Department of Experimental and Clinical Sciences, University of Brescia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Antonio","family":"Palmiotti","sequence":"additional","affiliation":[{"name":"Department of Medical and Surgical Sciences, University\u00a0of\u00a0Foggia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marchetti","family":"Giampietro","sequence":"additional","affiliation":[{"name":"Pleural Unit, Azienda Socio Sanitaria Territoriale degli\u00a0Spedali Civili di Brescia, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2019,6,25]]},"container-title":["Ultraschall in der Medizin - European Journal of Ultrasound"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-0879-1758.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,8,5]],"date-time":"2019-08-05T18:33:37Z","timestamp":1565030017000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-0879-1758"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,6,25]]},"references-count":0,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2019,8,5]]},"published-print":{"date-parts":[[2019,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-0879-1758","relation":{},"ISSN":["0172-4614","1438-8782"],"issn-type":[{"value":"0172-4614","type":"print"},{"value":"1438-8782","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,6,25]]}}}