Thankyou Justin Bowra for this post. Ultrasound for interstitial lung disease and pulmonary oedema Key points • US lets you ‘see the crackles’. The US appearance of crepitations / crackles is called ‘B lines’ (formerly rockets, comets) • Just like crackles, B lines are found in pulmonary oedema and also in pulmonary fibrosis • B Read more about B lines – how best to see them[…]
Images and text Genevieve Carbonatto A 66 year old presents to the Emergency Department after a fall onto her right chest wall. She had slipped in her bedroom and landed backwards onto a cabinet in her bedroom . She is in great pain on arrival to ED. This is her ultrasound where there is clinically Read more about Air: subcutaneous emphysema vs pneumothorax[…]
Images and Text Genevieve Carbonatto You get an ambulance call. A 34 year old man has fallen off a roof and has severe left sided chest pain. He will be arriving in 5 minutes. The patient arrives. He has significant chest pain which is localised to his left lateral chest wall but he also has Read more about Pneumothorax, power Doppler[…]
Images Genevieve Carbonatto 24 year old with acute chest pain. Previous right sided pneumothorax Left lung Note lung sliding and small ring down artifacts indicating absence of a pneumothorax Right lung Absent lung sliding – pneumothorax Right lung – mid axillary line Lung point – note there is an area where, at the pleural line, Read more about Lung point[…]
Ultrasound images and text Genevieve Carbonatto. A 62 year old man with known metastatic non small cell carcinoma presents to the Emergency Department SOB (short of breath). His excercise tolerance has been decreasing over a period of a week. He has been seen by his oncologist as an outpatient and an outpatient Xray shows a Read more about Lung Septations[…]
Ultrasound images and text Genevieve Carbonatto. Featured image: Oceanographic museum Monaco. A 45 year old man presents to the Emergency Department with a 6 month history of feeling generally unwell with fevers and a chronic cough. He is no longer able to cope at home. On arrival he is saturating 90% on RA (room air), Read more about Empyema[…]
Images and text by Genevieve Carbonatto A 72 year old man arrived in the Emergency Department directly from a private radiology imaging service saying he had been told to present immediately to the Emergency Department for treatment of his pneumothorax. He had had a previous pneumothorax and knew all about chest tubes. He was eager to Read more about Giant Bulla[…]
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 Genevieve Carbonatto Sinusoidal sign: Using M mode the pleural line can be seen clearly moving up and down with respiration. On inspiration the visceral pleura moves towards the parietal pleura, on expiration away. This patient presented with SOB and fever. Anterior chest: the break in the pleural line indicates consolidation. This is called Read more about Large right sided pleural effusion.[…]