Evidence map›Paper›PMID 41174270›Full record

ReviewJournal of ultrasound2026

Tuberculous pleural effusion: integrating thoracic ultrasound and medical thoracoscopy in the diagnosis and management: a pictorial narrative review and an algorithm proposal.

Riccardo Inchingolo, Lorenzo Carriera, Simone Ielo, Roberto Barone, Andrea Smargiassi, Roberto Lipsi, Stefano Baglioni, Raffaele Scala, Roberto Magri, Giampietro Marchetti

Abstract readReview
In one paragraph

Review in Journal of ultrasound, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Riccardo InchingoloUOC Pneumologia, Dipartimento Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168, Rome, Italy.
Lorenzo CarrieraFacoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, 00168, Rome, Italy. lorenzo.carriera01@icatt.it.ORCID http://orcid.org/0009-0006-2538-1278
Simone IeloFacoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Roberto BaroneFacoltà di Medicina e Chirurgia, Università Cattolica del Sacro Cuore, 00168, Rome, Italy.
Andrea SmargiassiUOC Pneumologia, Dipartimento Neuroscienze, Organi di Senso e Torace, Fondazione Policlinico Universitario A. Gemelli IRCCS, 00168, Rome, Italy.
Roberto LipsiDepartment of Pulmonology and Sub-Intensive Respiratory Unit, Ospedale Santa Maria Della Misericordia, Perugia, Italy.
Stefano BaglioniDepartment of Pulmonology and Sub-Intensive Respiratory Unit, Ospedale Santa Maria Della Misericordia, Perugia, Italy.
Raffaele ScalaPulmonology and Respiratory Intensive Care Unit, Ospedale San Donato, USL Toscana Sud-Est, Arezzo, Italy.
Roberto MagriPulmonology Department, ASST Spedali Civili, Brescia, Italy.
Giampietro MarchettiPulmonology Department, ASST Spedali Civili, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Tuberculous pleural effusion (TPE) is currently the most common form of extrapulmonary tuberculosis and remains a significant cause of pleural disease worldwide, particularly in endemic regions. It often presents with non-specific clinical symptoms, such as fever, chest pain, cough and weight loss, thereby complicating the diagnostic process. This narrative review provides an expert comprehensive clinical practice overview covering the following issues correlated with diagnosis and management of TPE: 1- epidemiology, clinical presentation and underlying pathophysiology; 2- limitations of conventional diagnostic procedures on pleural fluid; 3- usefulness of thoracic ultrasound (TUS) in the stepwise pathway 4- role of thoracoscopy as a golden diagnostic tool, with the proposal of a step by step algorithm. A large iconography enriches the review from the educational point of view by presenting a pictorial series of characteristic sonographic and thoracoscopic findings.

Indexed as

Pleural EffusionThoracoscopyTuberculosis, PleuralAlgorithmsHumansUltrasonographyInternal Mammary Lymph NodeMedical thoracoscopyThoracic ultrasoundTuberculosisTuberculous pleural effusion

Identifiers

PMID41174270
PMCPMC13000056

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.