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Convection monitoring and forecasting are crucial for air traffic management as they can lead to the development of intense thunderstorms and hazards such as severe turbulence and icing, lightning activity, microbursts and hail that affect aviation safety. The airport of Burgas is located in southeast Bulgaria on the Black Sea coast and occurrences of intense thunderstorms are mainly observed in the warm season between May and September. This work presents an analysis of severe convection over southeast Bulgaria on 17 September 2022. In the late afternoon, a gust front was formed that reached the Burgas airport with a wind speed exceeding 45 m/s, the record for the past 50 years, damaging the instrument landing system of the airport. To analyse the severe weather conditions, we combine state-of-the-art observations from satellite and radar with the upper-air sounding and surface. The studied period was dominated by the presence of a very unstable air mass over southeast Bulgaria ahead of the atmospheric front. As convection developed and moved east towards Burgas, it had four characteristics of severe deep convection, including gravitational waves at the overshooting cloud top, a cold U-shape, a flanking line and a cloud top temperature below −70 °C. The positive integrated water vapour (IWV) rate of change preceded the lightning activity peak by 30 min. Analysis of integrated vapour transport (IVT) gives higher values by a factor of two compared to climatology associated with the atmospheric river covering the eastern Mediterranean sea.

BACKGROUND:Ultrasound-guided transthoracic core needle biopsy (US-TCNB) is a promising method for establishing the correct diagnosis of mediastinal masses. However, the existing studies in this area are scant and with small samples. PURPOSE:To evaluate the diagnostic value and the complication rate of US-TCNB, particularly large bore cutting biopsy in patients with mediastinal lesions. MATERIAL AND METHODS:This retrospective study includes 566 patients with mediastinal lesions suspicious of malignancy evaluated between March 2004 and December 2018. Inclusion criteria: 1. Patients with mediastinal lesions detected on thoracic CT scan; 2. Lesions more than 15 mm; 3. Negative histological diagnosis after bronchoscopic biopsy; 4. Normal coagulation status; 5. Cooperative patient; 6. Written informed consent. US visualization of the mediastinal lesions was successful in 308 (54.4%). In all of them, US-TCNB was performed. All patients with mediastinal lesions unsuitable for US visualization were evaluated for a CT-guided transthoracic needle biopsy (CT-TTNB), which was done if the presence of a safe trajectory was available (n = 41, 7.2%). All patients inappropriate for image-guided TTNB were referred to primary surgical diagnostic procedures (n = 217, 38.3%). RESULTS:The US-TCNB is a highly effective (accuracy 96%, sensitivity 95%) and safe tool (2.6% complications) in the diagnosis of all subgroups mediastinal lesions. It is non-inferior to CT-TTNB (90%) and comes close to the effectiveness of surgical biopsy techniques (98.4%), but is less invasive and with a lower complication rate. CONCLUSION:US-TCNB of mediastinal lesions is highly effective and safe tool which is particularly helpful in critically ill patients.