Images by Matthew Oliver 3 days of cough and sore throat. 2 days of headache, fever and anorexia. Chest Xray shows right upper lobe pneumonia Ultrasound shows lung consolidation. the consolidated area looks like solid tissue. The bright hyperechoic areas are lung bronchograms. B lines due to interstitial fluid can be seen adjacent to the Read more about Lobar pneumonia[…]
Images by Genevieve Carbonatto This young man presented with a one week history of cough and a 2 day history of a very localised chest pain. His chest Xray films were unremarkable His ultrasound was interesting Just at the point of his pain, there is a break in the pleural line suggesting Read more about Normal chest Xray small area of consolidation and small pleural effusion[…]
Images by James Dent Retinal detachment
Image Genevieve Carbonatto Pleurodesis will appear on ultrasound exactly like a pneumothorax as there will be absence of lung sliding
Image Genevieve Carbonatto Widespread B lines originating from the pleural line Acute pulmonary oedema The causes of an interstitial syndrome includes, pulmonary edema of various causes, interstitial pneumonia or pneumonitis and diffuse parenchymal lung disease (pulmonary fibrosis) The clinical scenario will help differentiate between them. There are subtle sonographic differences however. B lines are seen in Read more about Pulmonary oedema[…]
Images Genevieve Carbonatto According to the 2012 International evidence-based recommendations for point-of-care lung ultrasound, diffuse parenchymal lung diseases have as sonographic findings, pleural line abnormalities (irregular,fragmented pleural line) and subpleural abnormalities (small echo – poor areas) and B lines in non homogenous areas. The following images are from a man with severe chronic interstitial syndrome. The Read more about Chronic interstitial syndrome[…]
Images Genevieve Carbonatto Shred sign – irregularity of pleural line. Small amount of pleural fluid. This indicates area if consolidation Clear triangular area “shred sign” at the level of the pleural line. Small amount of pleural fluid present. Fixed B lines from below the pleural line Left costophrenic angle – pleural fluid
Image Genevieve Carbonatto Collapsed lung looks like a solid organ . Hyperechoic foci are air bronchograms. Pleural fluid surrounds the lung.
Images Genevieve Carbonatto 1 week of fever and cough In left axilla, no fluid, fixed B lines, minimal lung sliding Posterior axillary line – pleural fluid, lung consolidation, fixed B lines from aerated lung just below consolidation CT scan: Left lung consolidation and pleural fluid
Images by Genevieve Carbonatto 5 weeks of fever and SOB. B cell lymphoma. Lung interstitial infiltrates. Irregular pleural line. B lines Right anterior chest. B lines, irregular pleural line Right midaxillary line. B lines more confluent. Right costophrenic angle, fixed B lines, no fluid