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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Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
A-lines (parietal pleura ... effusion - Reduced ... Edema: - Widespread ... Possible bilateral effusion ... the severity Acute
Diffuse consolidation
The most common cause of diffuse consolidation is pulmonary edema due to heart failure.
This is
edema due to heart ... non-cardiogenic edema ... Kerley B-lines and pleural ... patients, who have an acute ... #Differential #RadiologyAssistant
Acute and Chronic Causes of Dyspnea - Differential Diagnosis
Pulmonary/Chest Wall:
 β€’ Acute: Trauma, COPD exacerbation, Asthma
attack, ILD flare, Pleural ... effusion, Pneumonia ... Sarcoid, Tumor, Pleural ... effusion, Pulmonary ... CHF, Hypertensive
Causes of Dyspnea - Differential Diagnosis Algorithm
Cardiac:
 β€’ Dysrhythmia
 β€’ Ischemia
 β€’ Cardiomyopathy
 β€’ Valvular disease
Pneumonia β€’ Pulmonary ... edema β€’ Atelectasis ... embolism β€’ Pulmonary ... malformation Pleura ... : β€’ Pleural effusion
Pleural effusion is seen in:
1. Pulmonary edema
2. Lymphangitic spread of carcinoma - often unilateral
3. Tuberculosis
4. Lymphangiomyomatosis
Pleural effusion ... Pulmonary edema ... Diagnosis #Radiology #Pulmonary ... #Pleural #Effusion ... #Differential #RadiologyAssistant
Pleural effusion is not always visible as a meniscus in the costophrenic angle. 
A subpulmonic effusion
Pleural effusion ... with signs of CHF ... Radiology #CXR #CHF ... #Pleural #Effusion ... SubpulmonicEffusion #RadiologyAssistant
On the left a patient who had a CT to rule out pulmonary embolism.
There is a
CT to rule out pulmonary ... was cardiogenic pulmonary ... edema. ... SeptalThickening #CHF ... #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... dyspnoe due to acute ... Radiology #CXR #CHF ... #Alveolar #Pulmonary ... #RadiologyAssistant
Pleural effusion is bilateral in 70% of cases of CHF.
When unilateral, it is slightly more often
Pleural effusion ... 70% of cases of CHF ... If pleural effusion ... #Pleural #Effusion ... PleuralEffusion #RadiologyAssistant
Acute Hypoxemia - Differential Diagnosis
 β€’ Hyperacute: Aspiration, Flash Pulmonary Edema, Mucous Plugging, Bronchospasm, Pulmonary Embolism,
Acute Hypoxemia ... Edema, Mucous Plugging ... Bronchospasm, Pulmonary ... Edema, Alveolar ... Hemorrhage β€’ Impaired Diffusion