randständig auslaufend

03:31 Mar 21, 2021 

stenosis (dominant)/regurgitation, if that helps.

18:29 Mar 20, 2021 

Hi Lirka, without knowing the x-ray(s), the patient's condition, the reporting physician's usual style etc, this is mere guesswork. The phrase, as it stands, includes no indication about the size of the effusion, and the interpretation of the words is ambiguous, at least for me. I personally would probably offer a literal rendering such as Hanaa Naser's wording, plus a translator's note saying that this might refer to either free vs. loculated fluid, or, let's say, a "meniscus sign". (The added challenge in your query is that the typical qualifications of a "Mantelerguss", "peripherer/lateraler Ergusssaum" etc. are not used in English. The concepts are somewhat different between German and English, and "meniscus" may be the closest approximation to "randständig auslaufend" if that interpretation turns out to be adequate.)

17:40 Mar 20, 2021 

No, no lateral decubitus film, only supine. Do you think a description such as suggested by my ex-prof would be ok?: "Pleural effusion on both sides but only minimal and very lateral on the right."

16:25 Mar 20, 2021 

Being a skeptic by nature, I wouldn't be surprised if, at the end of the day, "auslaufend" doesn't have anything to do with free-flowing, but was used to describe the upward tail or haze seen on x-ray with a more than angular, but not massive effusion. Did the patient have a lateral decubitus film (= the typical way to demonstrate "Auslaufen" in the sense of free fluid flow)?

07:33 Mar 20, 2021 

about "randstaendig"

Randständig means that there is not enough fluid to be able to puncture it, no real space of the fluid collection.

So I now have: minimal free-flowing effusion. What do you think?

03:41 Mar 20, 2021 

is what it comes down to, I believe. Strike the subpulmonic idea - it's the opposite.

03:18 Mar 20, 2021 

From Johanna's ref., it is clear that "free-flowing" is correct for the auslaufende part. Now I only need the "randstaendig" part. I wonder if it is "at the margin>"? Or rather subpulmonic? That is the issue now (not that the client will be able to tell the difference, though). This is just for me and any subsequent term searches.