Dr. Gerald Diaz @GeraldMD
25.9M 13.9K 7.3K
Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief 🇵🇭 🇺🇸 - 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
Ultrasound Findings ... A-lines (parietal pleura ... due to thickened pleura ... #differential #diagnosis ... #signs #Lung #POCUS
Right pleural effusion with "spine sign" seen beautifully by using large footprint curvilinear transducer on lung
Right pleural effusion ... with "spine sign ... transducer on lung ... Clinical #POCUS #Lung ... #Pleural #Effusion
Hemothorax on Lung POCUS with Spine Sign

GSW to left chest.  Perisplenic window focusing on lower
POCUS with Spine Sign ... Diagnosis? ... with large sub-pleural ... #POCUS #Spine #Sign ... #clinical #ultrasound
Spine sign: visualization of the vertebral bodies in the thoracic cavity above the diaphragm indicative of
Spine sign: visualization ... indicative of pleural ... by air in the lung ... Effusion #Pulmonary #Lung ... #Ultrasound
COVID-19 Patterns of Lung Findings on Chest CT
1. Reverse Halo Sign
2. ARDS
3. Crazy-Paving Pattern
4. Bilateral Peripheral
19 Patterns of Lung ... Reverse Halo Sign ... Halo Sign 6. ... Pulmonary #ChestCT #radiology ... #CTChest #diagnosis
Lung Ultrasound: Cardiogenic Pulmonary Edema vs ARDS
Cardiogenic Pulmonary Edema:
 • Smooth pleural line
 • AIS >
Lung Ultrasound: ... Edema: • Smooth pleural ... line + sub-pleural ... comparison #clinical #diagnosis ... #ultrasound
Septic emboli
Septic emboli usually present as multiple ill-defined nodules.
In about 50% cavitation is seen.
CT demonstrates more
can suggest the diagnosis ... lesions abutting the pleura ... feeding vessel sign ... #Clinical #Radiology ... #CXR #CTChest #
D-Sign on Ultrasound
Right Ventricular Pressure vs Volume Overload
Eccentricity Index (EI) = D2/D1
RV Overload “D Sign” EI
D-Sign on Ultrasound ... RV Overload “D Sign ... #Ultrasound #echocardiogram ... #psax #diagnosis ... #cardiology #pocus
COVID-19 Findings on Lung ultrasound
 - Thickened pleural line
 - B lines (multifocal, discrete, or confluent)
19 Findings on Lung ... ultrasound - ... GrauSegura #COVID19 #Lung ... #ultrasound #POCUS ... #Diagnosis #Signs
COVID-19 on Lung POCUS - Day 2

Day 2 after COVID diagnosis. Less sore throat, cough &
COVID-19 on Lung ... 2 after COVID diagnosis ... breath or pleuritic chest ... COVID19 #clinical #lung ... #ultrasound #pulmonary