Thankyou Justin Bowra for this post. Ultrasound for interstitial lung disease and pulmonary oedema Key points B lines are found in pulmonary oedema and in other interstitial syndromes B lines start at the pleural line, move with breathing, are very bright, and reach much further down the screen (more than 10cm) than any other lung Read more about B lines – how best to see them[…]
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 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