Pulmonary Pathology and Associated Lung Ultrasound Findings Pneumothorax: - No lung sliding/barcode sign - Lung point (hard to find) - Bilateral A-lines (parietal pleura reflection) Pneumonia: - Consolidation or "hepatization of the lung" - Supleural Consolidations - "Shred" sign - Unilateral B-lines or bilateral B-lines - Possible small plural effusion - Reduced lung sliding due to thickened pleura in severe cases - Dynamic air bronchograms (atelectasis has static bronchograms) Cardiogenic Pulmonary Edema: - Widespread and bilateral B-lines - Normal lung sliding - Possible bilateral effusion depending on the severity Acute Respiratory Distress Syndrome (ARDS): - Bilateral or unilateral B-lines - Normal lung sliding COPD or Asthma: - Bilateral A-lines - Reduced lung sliding Pulmonary Embolism (PE): - Bilateral A-Lines - Deep Vein Thrombosis in Upper or Lower Extremities - Right Ventricular Enlargement (massive/submassive PE) POCUS 101 @Pocus101 #pulmonary #differential #diagnosis #signs #Lung #POCUS #ultrasound #findings
