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Free Air at the Peritoneal Line on POCUS

Chief Complaint: "my girl stabbed me"

Labeled Diagram: https://twitter.com/EUSmkh/status/752864010337415169

- Dr.
stabbed me" Labeled ... EUSmkh #FreeAir #Abdominal ... POCUS #Ultrasound #Clinical ... Intraabdominal #Trauma
There is a hydropneumothorax.
Notice the air-fluid level (blue arrow).
The upper lobe is still attached to the
There is a lung ... So we can assume ... #Clinical #Radiology ... #CXR #Pneumothorax ... Lymphangioleiomyomatosis #LAM #RadiologyAssistant
The PA-film shows a silhouette sign of the left heart border.
Even without looking at the lateral
anteriorly in the left lung ... #Clinical #Radiology ... #CXR #Pneumonia ... SilhouetteSign #RadiologyAssistant
Cicacitration atelectasis
Atelectasis can be the result of fibrosis of lungtissue.
This is seen after radiotherapy and in
density of the lung ... #Clinical #Radiology ... #CXR #Radiation ... #Fibrosis #RadiologyAssistant
PA view
On the PA chest-film it is important to examine all the areas where the lung
#Clinical #Anatomy ... #Radiology #CXR ... #Normal #Labeled ... ParatrachealStripe #RadiologyAssistant ... ParaAorticLine #PAView #RadiologyAssistant
Complex (NOT simple) ascites on Abdominal POCUS
(very subtle intra-ascitic echoes--didn't translate to Twitter well) secondary to
simple) ascites on Abdominal ... ) secondary to SBP ... Labeled Schematic ... Complex #POCUS #clinical ... #ultrasound #SBP
Cardiac incisura
Click image to enlarge.
On the right side of the chest the lung will lie against
the chest the lung ... inferior part of the lung ... #Clinical #Radiology ... #CXR #Lateral # ... Cardiac #Incisura #RadiologyAssistant
Here another patient with free abdominal air.
Notice the very thin regular line which is the diaphragm
patient with free abdominal ... #Clinical #Radiology ... #CXR #Free #Air ... FreeAir #Diaphragm #RadiologyAssistant
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... #PhysicalExam #clinical ... #video #trauma
Flail Chest Breathing on Physical Exam
74 year-old male, fallen over in the garden. Four rib fractures.
missed by non-trauma ... fractures missed by CXR ... , so use CT to identify ... #PhysicalExam #clinical ... #video #trauma