Bilateral B-Lines in case of Pneumonia on Lung POCUS Young healthy pt with fever/dyspnea. POCUS lung exam done. States has bilat B profile with lung sliding-must be pulm edema not PNA according to Blue Protocol, right? No PMH, immunosuppression, travel hx, home meds. No smoking or vaping. Progressive URI over 7-10 days. Differential Bilat B lines/lung sliding: Pulmonary edema, ARDS, interstitial lung disease, interstitial diffuse infections. This patient had Mycoplasma pneumonia. Lung POCUS shows a lot of B lines bilaterally. Also has partially seen shred sign Rt Zone 1. Lung POCUS invaluable but need to know how to apply. Bilateral B-lines DOES NOT definitively diagnose Pulm Edema. - Dr. Robert Jones @RJonesSonoEM #BLines #Bilateral #Pneumonia #Lung #POCUS #clinical #ultrasound
