Dr. Gerald Diaz @GeraldMD
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Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief πŸ‡΅πŸ‡­ πŸ‡ΊπŸ‡Έ - Sign up for an account to like, bookmark and upload images to contribute to our community platform. Follow us on IG: https://www.instagram.com/grepmed/ | Twitter: https://twitter.com/grepmeded/
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Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 β€’ Smooth pleural line
 β€’ AIS >
Lung Ultrasound: ... pleural line ... line + sub-pleural ... #clinical #diagnosis ... #ultrasound
β–Ί
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
edema due to heart ... flow, Kerley B-lines ... and pleural fluid ... #Diagnosis #Radiology ... #Pulmonary #CXR
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
- Interstitial edema ... perpendicular to the pleura ... #Clinical #Radiology ... #CXR #CHF #KerleyB ... #Intersitial #Edema
A-Lines vs B-Lines on Lung POCUS
A-Lines:
 β€’ Predominately horizontal lines
 β€’ A-lines are repeated horizontal &
from the pleura ... edema, ARDS, pneumonia ... - MCW EM Ultrasound ... POCUS #pulmonary ... #clinical #comparison
β–Ί
Based on the images alone, it is usually not possible to determine the cause of the
on the images alone ... chronic illness, clinical ... edema - filling ... #Clinical #Diagnosis ... #Radiology #CXR
COVID-19 Findings on Lung POCUS
Look for irregular, discontinuous pleural lines with concomitant subpleural consolidation, comet-tail artifact
discontinuous pleural ... lines with concomitant ... and localized edema ... #Lung #POCUS #pulmonary ... #clinical #ultrasound
β–Ί
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
space (pleural ... redistribution of the pulmonary ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema
COVID-19 Lung POCUS 

This is a POCUS of a patient with COVID-19.
No prior pulmonary disease; had
No prior pulmonary ... CXR: diffuse interstitial ... US: Irregular pleural ... POCUS #Subpleural #Clinical ... #Lung #Ultrasound
β–Ί
Based on the CXR that you just saw, you could have made the diagnosis of congestive
Based on the CXR ... The pulmonary vessels ... of interstitial edema ... There is pleural ... #Clinical #Radiology
On the left a patient with CHF. 
There is an increase in heart size compared to
redistribution of pulmonary ... , interstitial edema ... and some pleural ... #Clinical #Radiology ... #CXR #CHF #Exacerbation