21 results
Malignant Complex Pleural Effusion on Lung POCUS
You are starting your RUSH exam on febrile/hypotensive patient with
Malignant Complex ... Diagnosis? ... Answer: LARGE malignant ... Had known large malignant ... #Lung #POCUS #Pulmonary
Malignant Pericardial Effusion on POCUS Echocardiogram

Which of the following is the most common etiology for this
Malignant Pericardial ... Effusion on POCUS ... Resolution: Malignancy ... #Malignant #Pericardial ... #Effusion #POCUS
Hemorrhagic Pericardial Effusions (Hemopericardium)- Differential Diagnosis Framework

IATROGENIC DISEASE
Secondary to invasive cardiac procedures

NONIATROGENIC
• Malignancy (e.g., metastatic spread:
- Differential Diagnosis ... NONIATROGENIC • Malignancy ... patients with pulmonary ... OTHER RARE CAUSES ... have to repeat if malignancy
Causes of Pleural Effusion - Differential Diagnosis Algorithm
Transudate - Hydrostatic
 • Congestive heart failure
 • Constrictive
Causes of Pleural ... Effusion - Differential ... Diagnosis Algorithm ... Noninfectious: • Malignancy ... #Pulmonary #Diagnosis
Fibrinous septations in Malignant Pleural Effusion (MPE) - Lung POCUS
 • can be triggered by thoracenteses
septations in Malignant ... (MPE) - Lung POCUS ... Fibrinous #septations #Malignant ... #MPE #Lung #POCUS ... clinical #ultrasound #pulmonary
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
pleura in severe cases ... Possible bilateral effusion ... submassive PE) POCUS ... #differential #diagnosis ... #signs #Lung #POCUS
Pulmonary complications of targeted therapy
-Immune checkpoint inhibitors (e.g. pembrolizumab)
-Pneumonitis is uncommon (~5% of patients) but can
Pulmonary complications ... -It’s a diagnosis ... infection and malignancy-associated ... There are case reports ... of pleural effusion
Cryptogenic Organizing Pneumonia (COP)

Cryptogenic Organizing Pneumonia Overview:
 • Idiopathic form of organizing pneumonia
 • formerly BOOP
with CTD, drugs, malignancy ... Unknown • 6-7 cases ... Rare: pleural effusions ... other processes Workup ... #ILD #diagnosis
Empyema Necessitans (EN) on Chest POCUS

Pulmonary teaching case: you are called to the bedside of a
(EN) on Chest POCUS ... Pulmonary teaching ... case: you are called ... - What’s the diagnosis ... infected pleural effusion
Malignant RV Mass on POCUS Echocardiogram (PLAX)
57yo M with chest pain.  Normal work up including
Malignant RV Mass ... Normal work up including ... ventricle suggesting pulmonary ... outpatient & ED workup ... was metastatic pulmonary