Lung Ultrasound – Case 4 – Limits of Lung Ultrasound – Kylie Baker
[az_accordion_section] [accordion title=”History” id=”acc-1″] Patient scanned post CXR – Our radiologist was suspicious of a cavitating lesion.
Review the CT, CXR and lung ultrasound images and correlate the findings develop your diagnosis.[/accordion][accordion title=”CXR” id=”acc-2″] [az_lightbox_image_sh image_url=”https://intensivecarenetwork.com/wp-content/uploads/2014/07/LungUSCase4-CXR.png” thumb_width=”400″ title=”Lung US Case 4 – CXR” gallery_name=”” class=””][/accordion][accordion title=”CT Chest” id=”acc-3″] [az_lightbox_image_sh image_url=”https://intensivecarenetwork.com/wp-content/uploads/2014/07/LungUSCase4-CT.png” thumb_width=”400″ title=”Lung US Case 4 – CT Chest” gallery_name=”” class=””][/accordion] [accordion title=”Ultrasound” id=”acc-4″]
[/accordion] [accordion title=”Answer” id=”acc-5″]This was a presumed aspergilloma accompanying a destructive autoimmune lung disease. – Transthoracic lung ultrasound can miss major pathology if it does not touch the pleura. Few pathologies have no impact on pleural lymphatics, but many things can hide under areas of ‘white lung’. Think of B lines as a signal saying ‘dig here’. At very least switch to a straight probe for a close look. [/accordion] [accordion title=”Further Resources” id=”acc-6″]
ICN – Lung Ultrasound Guides
Article – Lung Ultrasound in the Critically Ill
Article – The BLUE Team Protocol
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Page – Julian Laurence
