2. But first a recap 3. A lines do not define pathology A lines
may exist in normal lungs, pntx(if there is no sliding), COPD or PE
Make sure probe is perpendicular to lung surface (not skin surface)
4. B- lines Slide briskly from thin pleura edge. Extend to bottom
of field. Three per field = wet field. Two wet fields per side
suggests CCF- particularly if symmetrical FLASH APO is often
apical, subclinical is laterobasal. 5. Wet PLUS= B lines with thick
wrinkly pleura. c pattern 6. Sub pleural abnormality = small
collapse May indicate small PE, mets or infection. Slides with
respiration. Suggest refer to German papers for subgrouping. 7.
Hepatisation (wet OR dry) Hepatisation generally indicates major
collapse/consolidation. 8. And there are other less frequent
findings.. curtain & jelly fish sign 9. Quiz instruction Right
lung, 4 regions, on first slide Left lung, 4 regions, on second
slide Choose between subsequent CXR (A or B) Added extras later on.
10. Case 4 RIGHT LUNG 11. Case 4 LEFT LUNG 12. XRAY A 13. XRAY B
14. Case 5 RIGHT LUNG 15. Case 5 LEFT LUNG 16. XRAY A 17. XRAY B
18. Case 6 RIGHT LUNG 19. Case 6 LEFT LUNG 20. XRAY A 21. XRAY B
22. CASE 7 RIGHT LUNG 23. Case 7 LEFT LUNG 24. XRAY A 25. XRAY B
26. Case 8- RIGHT LUNG 27. Case 8 LEFT LUNG 28. Case 8 Bonus slide
29. XRAY A 30. XRAY B 31. Case 9- RIGHT LUNG 32. Case 9 LEFT LUNG
33. XRAY A 34. Case 9 Bonus slide. XRAY B 35. Xray report. CHEST
(AP/ERECT) History: IHT from Esk. SOB. Treated as pneumonia.
Bilateral chest xray changes. Acute deterioration overnight,
treated as APO. Findings: The heart appears moderately enlarged but
the cardiac and mediastinal outline appears otherwise normal. There
is bilateral alveolar shadowing throughout both lung fields with
pulmonary venous congestion, and appearances are in keeping with
acute pulmonary oedema but may also be due to infection. No pleural
effusions are visible. 36. Case 9- bonus video BNP = 100
