B lines – how best to see them

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[…]

Air: subcutaneous emphysema vs pneumothorax

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[…]

Lobar pneumonia

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[…]

Normal chest Xray small area of consolidation and small pleural effusion

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[…]

Large right sided 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.[…]