Transillumination is the shining of a light through a body area or organ to check for abnormalities.
The room lights are dimmed or turned off so that the area of the body may be seen more easily. A bright light is then pointed at that area. Areas where this test is used include the:
Transillumination is also sometimes used to find blood vessels.
No preparation is necessary for this test.
There is no discomfort with this test.
This test may be done along with other tests to diagnose:
In newborns, a bright halogen light may be used to transilluminate the chest cavity if there are signs of a collapsed lung or air around the heart. (Transillumination through the chest is only possible on small newborns.)
In general, transillumination is not an accurate enough test to rely on. Further tests, such as an x-ray, CT, or ultrasound, are needed to confirm the diagnosis.
Normal findings depend on the area being evaluated and the normal tissue of that area.
Areas filled with abnormal air or fluid light up when they should not. For example, in a darkened room, the head of a newborn with possible hydrocephalus will light up when this procedure is done.
When done on the breast:
There are no risks associated with this test.
Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Examination techniques and equipment. In: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Seidel's Guide to Physical Examination. 9th ed. St Louis, MO: Elsevier; 2019:chap 3.
Lissauer T, Hansen A. Physical examination of the newborn. In: Martin RJ, Fanaroff AA, Walsh MC, eds. Fanaroff and Martin's Neonatal-Perinatal Medicine: Diseases of the Fetus and Infant. 11th ed. Philadelphia, PA: Elsevier; 2020:chap 28.BACK TO TOP
Review Date: 7/1/2021
Reviewed By: Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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