Summary of Chest Findings!

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Comet Tail Artefacts 

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Normal Lung – Small Comet tail seen (Probable small amount of fibrosis / fluid in alveolus)

 

Hepatised Vs Normal

 

Normal Lung

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Minimal movement but tiny comet tail seen between pleural layers
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Normal lung with sliding visible below the pleural lines – No Pneumo!!

Pleural Effusion

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Pneumothorax Patterns

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Moving lung on R. with B lines and Pneumo on L. dead still air. Lung point visible too as pleura slides to meet pneumo
Lung Point Case 4 LITFL Ultrasound Clinical Cases.gif
R. of image is no sliding and accentuated A lines. L. shows junction with normal lung and Lung point = pneumo
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Subtle small ant. pneuma – N lung with sliding on L. Pneumo (accentuated A lines) on R obscured intermittently by cardiac pulsation.
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Sliding pleura L. then non sliding on R. meets sliding = Lung point = Pneumothorax
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Double Lung Points seen here
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Subtle – loss of comet tails and B lines with accentuated, still  A lines
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Sliding Lung on L. Pneumothorax on R.
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Lung Point – Visible on L, where parietal and visceral pleura surfaces In the presence of a pneumothorax the visceral pleura falls away from the parietal pleura. The point at which the two pleural surfaces touch is called the lung point.
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Subtle – bright pleural line and minimal slide in-between ribs

Pulmonary Oedema – B Lines

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