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 >
pleural line ... β€’ Irregular pleural ... line + sub-pleural ... #edema #comparison ... #clinical #diagnosis
β–Ί
Stage II - Interstitial edema
Stage II of CHF is characterized by fluid leakage into the interlobular
- Interstitial edema ... Stage II of CHF ... perpendicular to the pleura ... #Clinical #Radiology ... #RadiologyAssistant
A-Lines vs B-Lines on Lung POCUS
A-Lines:
 β€’ Predominately horizontal lines
 β€’ A-lines are repeated horizontal &
equidistant from the pleura ... from the pleura ... edema, ARDS, pneumonia ... POCUS #pulmonary ... #clinical #comparison
β–Ί
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 ... #Comparison #RadiologyAssistant
Stage III - Alveolar edema
This stage is characterized by continued fluid leakage into the interstitium, which
effusion). ... #Clinical #Radiology ... #CXR #CHF #Alveolar ... #Pulmonary #Edema ... AlveolarEdema #RadiologyAssistant
There are three principal varieties of pulmonary edema: cardiac, overhydration and increased capillary permeability (ARDS). 
The
edema: cardiac, ... #Clinical #Radiology ... #CXR #CHF #Vascular ... Pedicle #Width #Comparison ... VascularPedicleWidth #RadiologyAssistant
CT will also demonstrate signs of congestive heart failure.
On the image on the left notice the
Thickened septal lines ... Bilateral pleural ... #Clinical #Radiology ... #CTChest #CHF # ... IntersitialEdema #Septal #RadiologyAssistant
Reticular pattern 
1. Lymphangitic carcinomatosis: irregular septal thickening, usually focal or unilateral 50% adenopathy', known carcinoma.
2.
edema: incidental ... edema. ... #Clinical #Radiology ... Reticular #Pattern #Comparison ... #Table #RadiologyAssistant
Based on the CXR that you just saw, you could have made the diagnosis of congestive
The pulmonary vessels ... There is pleural ... #Clinical #Radiology ... #CXR #CHF #InterstitialEdema ... #RadiologyAssistant