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Pneumonia

  • Slide 1 of 4
  • Slide 2 of 4
  • Slide 3 of 4
  • Slide 4 of 4

Pneumonia

  • Lung consolidation
  • "Air bronchograms"

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Narration

So typically when we look at the chest, if the lung is well aerated, we really aren’t going to see the lung, we’ll see the lining of the lung the visceral pleura, but when there’s pathology - consolidation from something such as pneumonia you can actually sometimes see the lung tissue and within the lung tissue you may see areas of air which are going to be bright on US and these are what are called air bronchograms.

Pneumonia

pneumonia annotated image

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Narration

So here’s a still image pointing out those bright hyperechoic air bronchograms within consolidated lung tissue, in this case also within a pleural effusion or parapneumonic effusion surrounding the consolidating lung.

Pneumonia

  • Small consolidation
  • Pediatric patient

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Narration

You may be able to see consolidation using a linear probe, this was a pediatric patient that did have a pneumonia that was seen on US when interrogating the right posterior lung field.

Pneumonia

  • “Hepatization”
  • Lung looks like liver

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Narration

Occasionally when the lung is completely socked in and consolidated it may actually appear like the liver and this is what is called hepatization. In this image you can see consolidated lung above the diaphragm that looks a lot like the liver, and this is a bad pneumonia.


Thoracic Ultrasound

--- Table of Contents ---

Lesson NameMinutes id
Approach to Thoracic Ultrasound2
81
The Inferior Thoracic Space2
82
Pleural Effusions2
83
More Pleural Effusions3
84
The Anterior Pleural Line2
85
Ultrasound for Pneumothorax4
86
M-Mode for Pneumothorax2
87
Lung Point Sign2
88
The ABZ Lines3
89
B lines and AIS3
90
Pneumonia2 checkmark
91
Rib Fracture1
92

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