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 >
Edema vs ARDS ... pleural line ... β€’ Irregular pleural ... line + sub-pleural ... #edema #comparison
β–Ί
Pulmonary Pathology and Associated Lung Ultrasound Findings
Pneumothorax:
 - No lung sliding/barcode sign
 - Lung point (hard
Pulmonary Pathology ... A-lines (parietal pleura ... effusion - Reduced ... Edema: - Widespread ... Possible bilateral 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
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
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 ... edema due to a ... #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
Low Attenuation pattern 
1. Lymphangiomyomatosis (LAM): uniform cysts in woman of child-bearing age; no history of
adenopathy and pleural ... effusion; sometimes ... Cystic #Pattern #Comparison ... #Table #RadiologyAssistant
On the left a patient with CHF. 
There is an increase in heart size compared to
redistribution of pulmonary ... , interstitial edema ... and some pleural ... #Exacerbation #Comparison ... #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