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Tag: Lung

Not a routine pleural effusion

This is an image obtained from the perisplenic window in a patient with gun shot wound. At first glance, it looks like a regular pleural effusion with atelectatic lung above […]

The Shred Sign

As we have seen previously, lobar consolidations tend to be well-defined, often accompanied by a small pleural effusion. However, small subpleural consolidations (of course, ultrasound does not detect if they […]

Lung Mass

Occasionally, you may stumble upon a lung mass while evaluating for B lines or other common pathologies. Particularly, ultrasonography is good at detecting primary and metastatic lung masses adjacent to […]

Lung contusion

While nephrologists are not the first line of contact for trauma patients, we are often asked to evaluate the need for renal replacement therapy in these patients. It is important […]

This jellyfish is not atelectasis!

Previously, we talked about atelectasis and pneumonic consolidations. Here is a unique case shared by Dr. Kylie Baker @kyliebaker888, where misdiagnosis could have lead to deleterious consequences. A 70-year-old man […]

The jellyfish sign: atelectasis

In moderate to large pleural effusions, it’s not uncommon to see lung atelectasis on the ultrasound. This collapsed lung within the effusion moves with respiration and appears like a jellyfish. […]

B lines do not always indicate pulmonary edema

Diffuse B-line pattern can be seen in pulmonary edema of various causes, interstitial pneumonia and diffuse parenchymal lung disease (e.g. fibrosis). Whether you are dealing with pulmonary edema or fibrosis […]

Pneumonia and dynamic air bronchograms

In general, evaluation of an air-rich organ is a limitation of ultrasound because air scatters the ultrasound beam and does not allow proper visualization of the underlying structures. Therefore, normal […]

Pleural effusion: The ‘Spine sign’

Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm – indicative of pleural effusion. In the absence of pleural effusion, the spine is obscured by […]

Lung ultrasound: A and B-lines

Lung ultrasonography can be used alone or in conjunction with limited echocardiography and sonographic assessment of the inferior vena cava to determine a patient’s volume status in day-to-day nephrology practice. […]